Clinical-radiologic heterogeneity of occipital neuralgiform pain as multiple sclerosis relapse.
Headache
; 49(2): 304-7, 2009 Feb.
Article
em En
| MEDLINE
| ID: mdl-18647183
ABSTRACT
Occipital neuralgia may be related to traumatic, compressive, or inflammatory injury to the occipital nerve or C2 radicular level and cervical spinal cord lesions. We report a series of 3 patients with definite relapsing-remitting multiple sclerosis (MS) who experienced sudden occipital neuralgiform pain with or without diminished sensation in the cervical region and associated with magnetic resonance imaging (MRI) evidence of a new active or new T2-weighted demyelinating C2 cervical lesion. We suggest that sudden paroxysmal occipital pain may signal relapse of MS and cervical MRI with gadolinium should be considered; these patients show good clinical response to high-dose intravenous corticosteroids.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Medula Espinal
/
Esclerose Múltipla Recidivante-Remitente
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Neuralgia
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Osso Occipital
Limite:
Adult
/
Aged
/
Female
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Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article