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Neuralgiform occipital pain can be secondary to occipital neuralgia or great auricular neuralgia. Occipital neuralgia is characterized by jabbing pain in the distribution of the greater or lesser occipital nerves or of the third occipital nerve, sometimes associated with diminished sensation in the affected area.1 The affected nerve is often tender, and the pain is eased temporarily by local anesthetic blockade.1 Occipital neuralgia can be caused by injury, inflammation, or compression of the greater occipital nerve.2 C1 to C2 arthrosis can mimic occipital neuralgia.3 Patients with occipital neuralgia secondary to an upper cervical cord cavernous angioma2 and neurosyphilis4 have been reported. We report another unusual cause of neuralgiform occipital pain.
Case report.
A 55-year-old left-handed man received tetanus/diphtheria toxoid, hepatitis A, and typhoid vaccinations in preparation for a trip from America to Ecuador. Seven days later, he noted episodes of shooting pain in the right occipital region, superior and posterior to the right ear and rarely in the right anterior …
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