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Occipital Neuralgia With and Without Migraine: Difference in Pain Characteristics and Risk Factors
(Headache 2011;51:124‐128) Objectives.— We conducted this study to identify differences in presentation and symptomatology between patients with isolated occipital neuralgia (ON) and patients with ON who also had migraine headache (ON + M). Background.— Occipital neuralgia is an uncommon cause of he...
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| Published in: | Headache 2011-01, Vol.51 (1), p.124-128 |
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| creator | Sahai-Srivastava, Soma Zheng, Ling |
| description | (Headache 2011;51:124‐128)
Objectives.— We conducted this study to identify differences in presentation and symptomatology between patients with isolated occipital neuralgia (ON) and patients with ON who also had migraine headache (ON + M).
Background.— Occipital neuralgia is an uncommon cause of headaches. Very little is known about the pain characteristics and associated features of patients with ON + M and whether these pain characteristics differ from those of patients with isolated ON.
Methods.— We studied 35 consecutive patients presenting with ON to the University of Southern California headache clinic. All patients met International Headache Society criteria for diagnosis of ON. Patients completed a questionnaire designed for this study. We also collected demographic data, including age, gender, and ethnicity.
Results.— Twenty patients had ON + M and 15 had isolated ON. There was no difference in age, gender or ethnicity between patients with ON + M and those with isolated ON. Patients with ON + M had significantly more complaints of pain traveling to the scalp and presence of scalp tenderness and tingling compared with patients with isolated ON; 25% patients in the ON + M group described the pain as “dull” whereas none of the isolated ON group reported this characteristic. There was higher use of chiropractors and massage therapy in patients from ON + M group than from isolated ON.
Conclusion.— There may be significant differences in pain characteristics for patients with ON + M and those for patients with isolated ON. The data indicate that patients with migraine should also be screened for symptoms of ON, as there may be similarities in presentation. The clinical implications of distinguishing ON + M and isolated ON include differences in treatment regimen, avoidance of inappropriate use of medical resources, and differences in long‐term outcomes. |
| doi_str_mv | 10.1111/j.1526-4610.2010.01788.x |
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Objectives.— We conducted this study to identify differences in presentation and symptomatology between patients with isolated occipital neuralgia (ON) and patients with ON who also had migraine headache (ON + M).
Background.— Occipital neuralgia is an uncommon cause of headaches. Very little is known about the pain characteristics and associated features of patients with ON + M and whether these pain characteristics differ from those of patients with isolated ON.
Methods.— We studied 35 consecutive patients presenting with ON to the University of Southern California headache clinic. All patients met International Headache Society criteria for diagnosis of ON. Patients completed a questionnaire designed for this study. We also collected demographic data, including age, gender, and ethnicity.
Results.— Twenty patients had ON + M and 15 had isolated ON. There was no difference in age, gender or ethnicity between patients with ON + M and those with isolated ON. Patients with ON + M had significantly more complaints of pain traveling to the scalp and presence of scalp tenderness and tingling compared with patients with isolated ON; 25% patients in the ON + M group described the pain as “dull” whereas none of the isolated ON group reported this characteristic. There was higher use of chiropractors and massage therapy in patients from ON + M group than from isolated ON.
Conclusion.— There may be significant differences in pain characteristics for patients with ON + M and those for patients with isolated ON. The data indicate that patients with migraine should also be screened for symptoms of ON, as there may be similarities in presentation. The clinical implications of distinguishing ON + M and isolated ON include differences in treatment regimen, avoidance of inappropriate use of medical resources, and differences in long‐term outcomes.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1111/j.1526-4610.2010.01788.x</identifier><identifier>PMID: 21198572</identifier><identifier>CODEN: HEADAE</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Biological and medical sciences ; Cardiovascular system ; Complementary Therapies ; Ethnicity ; Female ; Headaches ; Humans ; idiopathic headache ; Indexing in process ; Male ; Medical research ; Medical sciences ; Middle Aged ; Migraine ; Migraine Disorders - complications ; Neuralgia - complications ; Neuralgia - epidemiology ; Neuralgia - psychology ; Neurology ; occipital neuralgia ; Pain Measurement ; Pharmacology. Drug treatments ; Risk Factors ; Spinal Nerves - pathology ; Vascular diseases and vascular malformations of the nervous system ; Vasodilator agents. Cerebral vasodilators</subject><ispartof>Headache, 2011-01, Vol.51 (1), p.124-128</ispartof><rights>2010 American Headache Society</rights><rights>2015 INIST-CNRS</rights><rights>2010 American Headache Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4978-fc851015eb11d9ba5007aa0bb4f2e9be1e0a76de26c58f7bcf47a57bf994d5df3</citedby><cites>FETCH-LOGICAL-c4978-fc851015eb11d9ba5007aa0bb4f2e9be1e0a76de26c58f7bcf47a57bf994d5df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1526-4610.2010.01788.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1526-4610.2010.01788.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,4043,27956,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23884246$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21198572$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sahai-Srivastava, Soma</creatorcontrib><creatorcontrib>Zheng, Ling</creatorcontrib><title>Occipital Neuralgia With and Without Migraine: Difference in Pain Characteristics and Risk Factors</title><title>Headache</title><addtitle>Headache</addtitle><description>(Headache 2011;51:124‐128)
Objectives.— We conducted this study to identify differences in presentation and symptomatology between patients with isolated occipital neuralgia (ON) and patients with ON who also had migraine headache (ON + M).
Background.— Occipital neuralgia is an uncommon cause of headaches. Very little is known about the pain characteristics and associated features of patients with ON + M and whether these pain characteristics differ from those of patients with isolated ON.
Methods.— We studied 35 consecutive patients presenting with ON to the University of Southern California headache clinic. All patients met International Headache Society criteria for diagnosis of ON. Patients completed a questionnaire designed for this study. We also collected demographic data, including age, gender, and ethnicity.
Results.— Twenty patients had ON + M and 15 had isolated ON. There was no difference in age, gender or ethnicity between patients with ON + M and those with isolated ON. Patients with ON + M had significantly more complaints of pain traveling to the scalp and presence of scalp tenderness and tingling compared with patients with isolated ON; 25% patients in the ON + M group described the pain as “dull” whereas none of the isolated ON group reported this characteristic. There was higher use of chiropractors and massage therapy in patients from ON + M group than from isolated ON.
Conclusion.— There may be significant differences in pain characteristics for patients with ON + M and those for patients with isolated ON. The data indicate that patients with migraine should also be screened for symptoms of ON, as there may be similarities in presentation. The clinical implications of distinguishing ON + M and isolated ON include differences in treatment regimen, avoidance of inappropriate use of medical resources, and differences in long‐term outcomes.</description><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Complementary Therapies</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Headaches</subject><subject>Humans</subject><subject>idiopathic headache</subject><subject>Indexing in process</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Migraine</subject><subject>Migraine Disorders - complications</subject><subject>Neuralgia - complications</subject><subject>Neuralgia - epidemiology</subject><subject>Neuralgia - psychology</subject><subject>Neurology</subject><subject>occipital neuralgia</subject><subject>Pain Measurement</subject><subject>Pharmacology. Drug treatments</subject><subject>Risk Factors</subject><subject>Spinal Nerves - pathology</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Vasodilator agents. Cerebral vasodilators</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqNkdtu1DAQhi0EokvhFZAlhHqVxXbiQ7hAqrYnqh6AgipxY00cu_U2myx2IrZvj7O7LBI3MBf2aPzN77F_hDAlU5ri3XxKORNZIVKBkbQQKpWarp6gye7gKZqQVM6ULNQeehHjnBBSiFI8R3uM0lJxySaoujbGL30PDb6yQ4DmzgO-9f09hrZeJ93Q40t_F8C39j0-8s7ZYFtjsW_xp1TEs3sIYHobfOy9ievGLz4-4JNU7UJ8iZ45aKJ9td330beT46-zs-zi-vTj7PAiM0UpVeaM4pRQbitK67ICTogEIFVVOGbLylJLQIraMmG4crIyrpDAZeXKsqh57fJ9dLDRXYbux2Bjrxc-Gts00NpuiLrk6Vs4oeyfpGKMp1AykW_-IufdENr0DE2THKFlLkSi1IYyoYsxWKeXwS8gPGpK9GiYnuvRFz36okfD9NowvUqtr7cXDNXC1rvG3w4l4O0WgGigcQFa4-MfLleqYMU4w4cN99M39vG_B9Bnx4dHY5oEso1AstGudgIQHrSQueT69upUixv1-fL8-7m-yX8BAhG_8g</recordid><startdate>201101</startdate><enddate>201101</enddate><creator>Sahai-Srivastava, Soma</creator><creator>Zheng, Ling</creator><general>Blackwell Publishing Inc</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201101</creationdate><title>Occipital Neuralgia With and Without Migraine: Difference in Pain Characteristics and Risk Factors</title><author>Sahai-Srivastava, Soma ; Zheng, Ling</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4978-fc851015eb11d9ba5007aa0bb4f2e9be1e0a76de26c58f7bcf47a57bf994d5df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Complementary Therapies</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Headaches</topic><topic>Humans</topic><topic>idiopathic headache</topic><topic>Indexing in process</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Migraine</topic><topic>Migraine Disorders - complications</topic><topic>Neuralgia - complications</topic><topic>Neuralgia - epidemiology</topic><topic>Neuralgia - psychology</topic><topic>Neurology</topic><topic>occipital neuralgia</topic><topic>Pain Measurement</topic><topic>Pharmacology. Drug treatments</topic><topic>Risk Factors</topic><topic>Spinal Nerves - pathology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vasodilator agents. Cerebral vasodilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sahai-Srivastava, Soma</creatorcontrib><creatorcontrib>Zheng, Ling</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sahai-Srivastava, Soma</au><au>Zheng, Ling</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Occipital Neuralgia With and Without Migraine: Difference in Pain Characteristics and Risk Factors</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>2011-01</date><risdate>2011</risdate><volume>51</volume><issue>1</issue><spage>124</spage><epage>128</epage><pages>124-128</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><coden>HEADAE</coden><notes>ark:/67375/WNG-6S8QMJZJ-S</notes><notes>istex:3E51E16F1A6F1C8D6AEDA9BB5C774975E445261A</notes><notes>ArticleID:HEAD1788</notes><notes>Authors have no conflict of interest.</notes><notes>Conflict of Interest</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>ObjectType-Article-2</notes><notes>ObjectType-Feature-1</notes><abstract>(Headache 2011;51:124‐128)
Objectives.— We conducted this study to identify differences in presentation and symptomatology between patients with isolated occipital neuralgia (ON) and patients with ON who also had migraine headache (ON + M).
Background.— Occipital neuralgia is an uncommon cause of headaches. Very little is known about the pain characteristics and associated features of patients with ON + M and whether these pain characteristics differ from those of patients with isolated ON.
Methods.— We studied 35 consecutive patients presenting with ON to the University of Southern California headache clinic. All patients met International Headache Society criteria for diagnosis of ON. Patients completed a questionnaire designed for this study. We also collected demographic data, including age, gender, and ethnicity.
Results.— Twenty patients had ON + M and 15 had isolated ON. There was no difference in age, gender or ethnicity between patients with ON + M and those with isolated ON. Patients with ON + M had significantly more complaints of pain traveling to the scalp and presence of scalp tenderness and tingling compared with patients with isolated ON; 25% patients in the ON + M group described the pain as “dull” whereas none of the isolated ON group reported this characteristic. There was higher use of chiropractors and massage therapy in patients from ON + M group than from isolated ON.
Conclusion.— There may be significant differences in pain characteristics for patients with ON + M and those for patients with isolated ON. The data indicate that patients with migraine should also be screened for symptoms of ON, as there may be similarities in presentation. The clinical implications of distinguishing ON + M and isolated ON include differences in treatment regimen, avoidance of inappropriate use of medical resources, and differences in long‐term outcomes.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>21198572</pmid><doi>10.1111/j.1526-4610.2010.01788.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Headache, 2011-01, Vol.51 (1), p.124-128 |
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| source | Wiley-Blackwell Journals |
| subjects | Biological and medical sciences Cardiovascular system Complementary Therapies Ethnicity Female Headaches Humans idiopathic headache Indexing in process Male Medical research Medical sciences Middle Aged Migraine Migraine Disorders - complications Neuralgia - complications Neuralgia - epidemiology Neuralgia - psychology Neurology occipital neuralgia Pain Measurement Pharmacology. Drug treatments Risk Factors Spinal Nerves - pathology Vascular diseases and vascular malformations of the nervous system Vasodilator agents. Cerebral vasodilators |
| title | Occipital Neuralgia With and Without Migraine: Difference in Pain Characteristics and Risk Factors |
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