Contributions
Abstract: P1054
Type: Poster Sessions
Abstract Category: Clinical aspects of MS - Comorbidity
Occipital neuralgia (ON) can be caused by trauma, compression or inflamation along the occipital nerve or atC2 radicular level. Multiple Sclerosis (MS) is associated with several types of neuralgia and headaches but the prevalence of ON in patients with MS is still unknown.
To describe a series of cases with both MS and ON diagnosis in Hospital del Mar, Barcelona, including demographic data, neuroimaging, received therapy for MS and ON and the effectiveness of the later for pain control.
Retrospective study in patients with both ON and MS diagnosis from 1995 to 2018 in Hospital del Mar.
From our cohort of 349 patients with MS we have gathered six cases ON diagnosis (1.7%) Four out of six are women, with median of 42 years (range 23-50). Three patients were also diagnosed with trigeminal neuralgia and two migraine. Three cases had cervical demyelinating lesions in MRI. Five received treatment with local infiltrations of bupivacaine and betamethasone, after failure of oral analgesics or antiepileptic drugs. Four out of the five infiltrated patients had significant improvement of their ON. One of them required an occipital stimulator, with good response and pain improvement.
Although it is infrequent, .ON can be a manifestation of cervical MS. It's important to keep in mind this relationship in order to start a satisfactory treatment lesions. The patients in our case series had an overall good response to local infiltrations, though nowadays we have new resources such as neurostimulators.
Disclosure: Ainara Barguilla Arribas: Nothing to disclose.
Irene Berzosa González nothing to disclose.
Abstract: P1054
Type: Poster Sessions
Abstract Category: Clinical aspects of MS - Comorbidity
Occipital neuralgia (ON) can be caused by trauma, compression or inflamation along the occipital nerve or atC2 radicular level. Multiple Sclerosis (MS) is associated with several types of neuralgia and headaches but the prevalence of ON in patients with MS is still unknown.
To describe a series of cases with both MS and ON diagnosis in Hospital del Mar, Barcelona, including demographic data, neuroimaging, received therapy for MS and ON and the effectiveness of the later for pain control.
Retrospective study in patients with both ON and MS diagnosis from 1995 to 2018 in Hospital del Mar.
From our cohort of 349 patients with MS we have gathered six cases ON diagnosis (1.7%) Four out of six are women, with median of 42 years (range 23-50). Three patients were also diagnosed with trigeminal neuralgia and two migraine. Three cases had cervical demyelinating lesions in MRI. Five received treatment with local infiltrations of bupivacaine and betamethasone, after failure of oral analgesics or antiepileptic drugs. Four out of the five infiltrated patients had significant improvement of their ON. One of them required an occipital stimulator, with good response and pain improvement.
Although it is infrequent, .ON can be a manifestation of cervical MS. It's important to keep in mind this relationship in order to start a satisfactory treatment lesions. The patients in our case series had an overall good response to local infiltrations, though nowadays we have new resources such as neurostimulators.
Disclosure: Ainara Barguilla Arribas: Nothing to disclose.
Irene Berzosa González nothing to disclose.