Occipital neuralgia in lung carcinoma: a rare clinical scenario case report

Sovan Sarang Dhar; Rajendra Sahoo; Zulfuqur Hossain Khan; Saroj Kumar Das Majumdar; Dillip Kumar Parida

doi:10.2298/AOO180330002D

Sovan Sarang Dhar All India Institute of Medical Sciences,Bhubaneswar,Odisha,India
Rajendra Sahoo Health World Hospitals, Durgapur, India
Zulfuqur Hossain Khan North DMC Medical College and Hindu Rao Hospital, New Delhi, India
Saroj Kumar Das Majumdar All India Institute of Medical Sciences Bhubaneswar, India
Dillip Kumar Parida All India Institute of Medical Sciences Bhubaneswar, India

DOI: https://doi.org/10.2298/AOO180330002D

Keywords: Pain, Neuralgia,

Abstract

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.

Author Biographies

Sovan Sarang Dhar, All India Institute of Medical Sciences,Bhubaneswar,Odisha,India

Senior Resident, Department of Radiotherapy, All India Institute of Medical Sciences Bhubaneswar, India

Rajendra Sahoo, Health World Hospitals, Durgapur, India

Senior Consultant Anaesthesiology and Pain Management, Health World Hospitals, Durgapur, India

Zulfuqur Hossain Khan, North DMC Medical College and Hindu Rao Hospital, New Delhi, India

Associate Professor, Department of Physiology, North DMC Medical College and Hindu Rao Hospital, New Delhi, India

Saroj Kumar Das Majumdar, All India Institute of Medical Sciences Bhubaneswar, India

Additional Professor, Department of Radiotherapy, All India Institute of Medical Sciences Bhubaneswar, India

Dillip Kumar Parida, All India Institute of Medical Sciences Bhubaneswar, India

Professor, Department of Radiotherapy, All India Institute of Medical Sciences Bhubaneswar, India

References

Garza I, Swanson JW, Dashe JF. Occipital neuralgia. UpToDate. 2018. website. https://www.uptodate.com/contents/occipital-neuralgia published 2017.Last updated August 25, 2017. Accessed January 1, 2018.

Koopman JSHA, Dieleman JP, Huygen FJ, de Mos M, Martin CGM, Sturkenboom MCJM. Incidence of facial pain in the general population. Pain 2009;147(1):122-127. doi: 10.1016/j.pain.2009.08.023

Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013;33(9):629-808. doi: 10.1177/0333102413485658

Valyi-Nagy T, Rathore J, Rakic A, Rathore R, Jain P, Slavin K. Herpes Simplex Virus Type 1 Human Cervical Dorsal Root Ganglionitis. Case Reports in Neurology 2017;9(2):188-194. doi: 10.1159/000479146

Siefferman J, Khelemsky Y. Occipital Neuralgia after Hair Transplantation and Its Treatment. Case Reports in Neurological Medicine 2015:1-3. doi: 10.1155/2015/428413

Krishnan P, Kartikueyan R, Chowdhury S, Das S. Schwannoma of the greater occipital nerve: An uncommon cause of occipital neuralgia. Journal of Neurosciences in Rural Practice 2015;6(4):634. doi: 10.4103/0976-3147.165434

Kim WS, Park JT, Lee YB, Park WY. Atlantoaxial Chordoma in Two Patients with Occipital Neuralgia and Cervicalgia. Journal of Lifestyle Medicine 2014;4(2):104-108. doi: 10.15280/jlm.2014.4.2.104

Sylvie Delanian, Jean-Louis Lefaix, Pierre-François Pradat. Radiation-induced neuropathy in cancer survivors. Radiotherapy and Oncology 105 (2012) 273–282. https://doi.org/10.1016/j.radonc.2012.10.012

Choi I, Jeon SR. Neuralgias of the Head: Occipital Neuralgia. Journal of Korean Medical Science 2016;31(4):479. doi: 10.3346/jkms.2016.31.4.479

McWhinney SR, Goldberg RM, McLeod HL. Platinum neurotoxicity pharmacogenetics. Molecular Cancer Therapeutics 2009;8(1):10-16. doi: 10.1158/1535-7163.mct-08-0840

Swenerton K, Jeffrey J, Stuart G, Roy M, Krepart G, Carmichael J, MacLean G. Cisplatin-cyclophosphamide versus carboplatin-cyclophosphamide in advanced ovarian cancer: a randomized phase III study of the National Cancer Institute of Canada Clinical Trials Group. Journal of Clinical Oncology 1992;10(5):718-726. doi: 10.1200/jco.1992.10.5.718