scholarly journals Occipital neuralgia in lung carcinoma: A rare clinical scenario case report

2018 ◽  
Vol 24 (1) ◽  
pp. 10-11 ◽  
Author(s):  
Sovan Dhar ◽  
Rajendra Sahoo ◽  
Zulfuqur Khan ◽  
Majumdar Das ◽  
Dillip Parida
Keyword(s):  
Lung Carcinoma ◽  
Rare Case ◽  
Chemotherapy Regimen ◽  
Temporal Region ◽  
Occipital Neuralgia ◽  
Occipital Region ◽  
Chemotherapeutic Drug ◽  
Cause Of Pain ◽  
Combination Chemotherapy Regimen

Occipital neuralgia is an uncommon cause of pain over occipital region. When occipital nerves are affected due to osteogenic / vasculogenic / neurogenic causes it is manifested as a sharp shooting or stabbing type of pain over the occipital region of scalp, often progressing to involve the vertex and the temporal region as well. Use and withdrawal of variety of drugs result in headache. The role of any chemotherapeutic drug, as a causative agent for occipital neuralgia, has not been described in literature so far. We are reporting a rare case of occipital neuralgia precipitated while on combination chemotherapy regimen in lung carcinoma.

Role of Radiotherapy in a Recurrent Aneurysmal Bone Cyst of the Temporal Bone: Case Report

Neurosurgery ◽  
2006 ◽  
Vol 58 (3) ◽  
pp. E584-E584 ◽  
Author(s):  
Piyush Kumar ◽  
Shalini Singh ◽  
Rajendra V. Phadke ◽  
Himanshu Diwakar ◽  
Tanu Agarawal ◽  
...  
Keyword(s):  
Case Report ◽  
Temporal Bone ◽  
Aneurysmal Bone Cyst ◽  
Rare Case ◽  
Clinical Presentation ◽  
Bone Cyst ◽  
Temporal Region ◽  
Radiological Images

Abstract OBJECTIVE AND IMPORTANCE: A rare case of aneurysmal bone cyst (ABC) of the temporal bone is presented which, following recurrence after surgery, was successfully treated with radiotherapy. The role of radiotherapy in such cases is reviewed. CLINICAL PRESENTATION: A 30-year-old man presented with a recurrent swelling and pain in right temporal region following surgery for ABC at that site. INTERVENTION: Local radiotherapy to a dose of 31.5 Gy in 18 fractions over 3.5 weeks was delivered to the site of recurrence. The patient had a near total regression of the ABC as evident clinically and on radiological images. CONCLUSION: To the best of our knowledge, radiation for the recurrent ABC at the temporal bone has not been described in the literature. However, in view of the response evident in this patient, radiotherapy seems to be effective for recurrent cases of ABC at the temporal bone and a dose of around 30 to 36 Gy could be effectively delivered with satisfactory results.

scholarly journals Referred Trigeminal Facial Pain from Occipital Neuralgia Occurring Much Earlier than Occipital Neuralgia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Byung-chul Son
Keyword(s):  
Facial Pain ◽  
Rare Case ◽  
Clinical Manifestations ◽  
Temporal Region ◽  
Occipital Neuralgia ◽  
Trigeminal Pain ◽  
Neuralgic Pain ◽  
Greater Occipital Nerve ◽  
Auriculotemporal Neuralgia ◽  
Trigeminal Region

We report a very rare case in which a patient believed to have auriculotemporal neuralgia due to the repeated recurrence of paroxysmal stabbing pain in the preauricular temporal region for four years developed occipital neuralgia, which finally improved with decompression of the greater occipital nerve (GON). The pain of occipital neuralgia has been suggested to be referred to the frontoorbital (V1) region through trigeminocervical interneuronal connections in the trigeminal spinal nucleus. However, the reports of such cases are very rare. In occipital neuralgia, the pain referred to the ipsilateral facial trigeminal region reportedly also occurs in the V2 and V3 distributions in addition to that in the V1 region. In the existing cases of referred trigeminal pain from occipital neuralgia, continuous aching pain is usually induced, but in the present case, typical neuralgic pain was induced and diagnosed as idiopathic auriculotemporal neuralgia. In addition, recurrent trigeminal pain occurred for four years before the onset of occipital neuralgia. If the typical occipital neuralgia did not develop in four years, it would be impossible to infer an association with the GON. This case shows that the clinical manifestations of referred trigeminal pain caused by the sensitization of the trigeminocervical complex by chronic entrapment of the GON can be very diverse.

Clinical and etiological evaluation of secondary seizures by computed tomography and electroencephalogram

2016 ◽  
Vol 5 (10) ◽  
pp. 4982
Author(s):  
Archana Aher* ◽  
Satish Gore
Keyword(s):  
Meta Analysis ◽  
Temporal Region ◽  
Government Medical College ◽  
Occipital Region ◽  
Parietal Region ◽  
Medical College ◽  
Mri Brain ◽  
Brain Scan ◽  
Ct Brain ◽  
Clonic Convulsions

This study was conducted to determine the clinical evaluation and various etiological factors of secondary seizures in patients admitted to Government Medical College, Nagpur. We evaluated 58 patients of secondary seizures from Dec 2011 to Oct 2013. Secondary seizures were defined as case of seizure with CT (brain) or MRI (brain) abnormality1. Out of 58 cases 35 were males and 23 were females. Mean age of study subjects was 34.85. The commonest presenting feature was generalized tonic clonic convulsions (42 patients) followed by focal seizures (16 patients).  Todd’s palsy was observed in 4 cases. Aura was present in 24 cases. According to CT brain scan the aetiology was – neurocysticercosis (34.48%), post stroke (27.59%), tuberculoma (24.14%). Space occupying lesions(SOLs) were present in 8 patients, out of whom 4 had brain tumour, 2 patients had brain abscess, 1 had hydatid cyst and 1 had metastasis. Majority of lesions were located in frontal region (58.62%), followed by in parietal region (44.83%), in temporal region (25.86%) and in occipital region (13.79 % patients). In our study neurocysticercosis was found to be the commonest cause of secondary seizures. As in a meta-analysis it was found that cysticidal drugs result in better outcome in patients of neurocysticecosis, we recommend that the patients of secondary seizures should be identified for the aetiology and treated at the earliest2.

Malignant Eccrine Spiroadenoma of Right Temporal region: Reporting of a Rare Case

2021 ◽  
Author(s):  
Resham Srivastava ◽  
Naseem Akhtar ◽  
Puneet Prakash ◽  
Kirti Srivastava
Keyword(s):  
Rare Case ◽  
Temporal Region

A Rare Case of Multiple Lymphomatous Polyposis With Widespread Involvement of the Gastrointestinal Tract

2003 ◽  
Vol 127 (8) ◽  
pp. 1028-1030
Author(s):  
JoséM. Remes-Troche ◽  
Jazmín De-Anda ◽  
Víctor Ochoa ◽  
Rafael Barreto-Zuñiga ◽  
Julián Arista-Nasr ◽  
...  
Keyword(s):  
Rare Case ◽  
Chemotherapy Regimen ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Malignant Cells ◽  
Gi Tract ◽  
Diffuse Abdominal Pain ◽  
Mantle Cell ◽  
Lower Gi Bleeding ◽  
Multiple Lymphomatous Polyposis

Abstract Multiple lymphomatous polyposis (MLP) is an uncommon type of primary non-Hodgkin gastrointestinal (GI) B-cell lymphoma characterized by the presence of multiple polyps along the GI tract. Malignant cells of MLP have mantle cell characteristics and thus are considered to be the counterpart of the mantle cell lymphoma (MCL) in the GI tract. Since 1961, no more than 70 well-documented cases have been published. We report the case of 53-year-old man diagnosed as having MLP. The patient presented with diffuse abdominal pain, chronic lower GI bleeding, peripheral lymphadenopathy, and weight loss. The lymphomatous polyps extended from the esophagus to the rectum, with bone marrow infiltration. Immunohistologic findings were characteristic of MCL. The patient was treated with a combined cyclophosphamide, vincristine, and prednisone chemotherapy regimen, resulting in a partial response.

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