Occipital neuralgia as a true neuropathic pain

Autor: Bruno Ricardo Huber Simião, Sérgio Elias Vieira Cury, Rise Consolação Iuata Costa Rank, Maria Aparecida Sobreiro, Raphael Navarro Aquilino, Sônia Maria Paiva Torres, Omar Franklin Molina
Rok vydání: 2014
Předmět:
Zdroj: Revista Neurociências. 22:242-248
ISSN: 1984-4905
0104-3579
DOI: 10.34024/rnc.2014.v22.8106
Popis: Objective. Assess frequency of neuropathic symptoms in occipital neuralgia, migraine and tension-type headache, and discuss mecha­nism in occipital neuralgia. Method. Criteria for occipital neuralgia, migraine, tension-type headache, craniomandibular disorders, brux­ing behavior, clinical examination, and questionnaires were used. Re­sults. Mean ages are 37.3±1.7 years in occipital neuralgia patients, 36.5±11.8 years in migraine patients, and 33.0±12.3 years in tension-type headache patients. Frequencies of electric shock-like, stabbing or shooting pain, numbness, very intense pain, a burning description, a pain generating zone and intermittent descriptions were 54.3%, 77.1%, 34.3%, 100%, 68.6%, 100%, and 57.1%, respectively in occipital neuralgia patients, 6.3%, 18.8%, 0%, 100%, 12.5%, 0%, and 0%, respectively, in migraine patients; 0%, 17.6%, 0%, 18.6%, 0.9%, 0% and 0%, respectively, in tension-type headache patients. Comparing neuropathic symptoms between occipital neuralgia and migraine, and between occipital and tension-type headache, neuro­pathic symptoms were present almost exclusively in occipital neural­gia patients. Conclusions. Neuropathic symptoms differentiate oc­cipital neuralgia from migraine and from tension-type headache. Very intense pain is more frequent in occipital neuralgia and migraine than in tension-type headache individuals.
Databáze: OpenAIRE
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