Greater occipital nerve schwannoma – A rare cause of occipital neuralgia
| Autor: | Khai Beng Chong, Siu Cheng Loke, Si Ying Chrisanda Lee, Cora Yuk-Ping Chau, Ming Yann Lim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Greater occipital nerve
Physical examination Schwannoma medicine.nerve 03 medical and health sciences 0302 clinical medicine Occipital neuralgia Medicine 030223 otorhinolaryngology medicine.diagnostic_test business.industry Anatomy medicine.disease lcsh:Otorhinolaryngology lcsh:RF1-547 nervous system diseases body regions medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Scalp Headaches medicine.symptom Third occipital nerve business Lesser occipital nerve |
| Zdroj: | Otolaryngology Case Reports, Vol 14, Iss, Pp-(2020) |
| ISSN: | 2468-5488 |
| Popis: | Occipital neuralgia is a painful condition affecting the posterior scalp in the distributions of the greater occipital nerve (GON), lesser occipital nerve (LON), third occipital nerve (TON), or a combination of the three. Scalp masses can be a cause of occipital neuralgia if they originate from neural components, but their incidence is low and preoperative diagnosis may be difficult. Among benign tumours of peripheral nerves, there is a group originating from Schwann cells. We report a rare case of a GON schwannoma causing occipital neuralgia. A 52-year-old Chinese lady presented with 6 months of daily headaches mainly in the left occipital region, with no other associated symptoms. Physical examination was normal. CT scan showed a left occipital mass for which she underwent surgical excision for. Intra-operatively, the mass was noted to be deep to the muscles arising from a nerve. Upon review of the pre-operative scan, this nerve was most likely the GON. Histology subsequently came back as a schwannoma. To the best of our knowledge, this is likely to be the 5th reported case of GON schwannoma causing occipital neuralgia. Keywords: Schwannoma, Greater occipital nerve, Occipital neuralgia |
| Databáze: | OpenAIRE |
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