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EHMTI-0028. Occipital neuralgiform pain as multiple sclerosis relapse

Occipital neuralgia(ON) is a rare presentation and might be due to multiple causes including occipital nerve pathologies and limit daily function of patients and have a severe impact on their quality of life (QoL). The clinical cahrecteristics of ON include paroximal painful attacks of electric shock- like sensation, occuring spontaneously or evoked by stimuli in specific tigger areas. Cervical cord demyelination might rareley cause ON. In this case report we would like to report a clinically definite relapsing-remitting multiple sclerosis (MS) patient who experienced occipital neuralgiform pain with a contrast enhancing demyelinating lesion on C2 cervical cord. We would like to discuss a rare case of occipital neuralgia presenting as an MS relapse. Although patients with multiple sclerosis have an increased incidence of headaches, new onset headaches might be related to a new active lesion and patient sholud be evaluated considering this possibility.

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Correspondence to M Ozerden.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Ozerden, M., Soysal, A., Kale, N. et al. EHMTI-0028. Occipital neuralgiform pain as multiple sclerosis relapse. J Headache Pain 15, C49 (2014). https://doi.org/10.1186/1129-2377-15-S1-C49

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  • DOI: https://doi.org/10.1186/1129-2377-15-S1-C49

Keywords

  • Public Health
  • Internal Medicine
  • Multiple Sclerosis
  • Rare Case
  • Electric Shock