{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:57:43Z","timestamp":1777694263158,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Occipital neuralgia is a relatively frequent but often intractable headache disorder typically arising from trauma or nerve entrapment. While commonly associated with spontaneous or degenerative causes, iatrogenic occipital neuralgia following scalp surgery is rare and underreported in the literature. Reporting this case highlights the diagnostic challenge and surgical relevance of an underrecognized etiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A healthy 31-year-old female developed stabbing occipital pain radiating to the forehead after incomplete excision of a left occipital scalp tumor under local anesthesia. Examination revealed paroxysmal pain without sensory loss in the distribution of the greater occipital nerve, associated with dysesthesia and tenderness. A soft residual mass remained near the surgical site. Diagnostic occipital nerve block with lidocaine resulted in temporary pain relief, confirming occipital neuralgia. Surgical excision and neurolysis of the greater occipital nerve were performed. The patient experienced complete resolution of pain, with minimal residual numbness postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This case illustrates a rare instance of iatrogenic occipital neuralgia following scalp surgery. It underscores the importance of evaluating prior surgical history in patients with new-onset occipital pain and highlights the utility of occipital nerve block as a diagnostic tool. Greater occipital nerve injury or local inflammatory sequelae may result in persistent neuropathic pain, which can be effectively addressed through decompression or neurolysis. Preoperative knowledge of neuroanatomy and meticulous surgical technique are vital to preventing such complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11795476251387202","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T03:49:11Z","timestamp":1761968951000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Iatrogenic Occipital Neuralgia After Scalp Epidermoid Cyst Excision: A Rare Case Report"],"prefix":"10.1177","volume":"18","author":[{"given":"Gao","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Shuang Ho Hospital, Taipei Medical University, Zhonghe New Taipei City, Taiwan"},{"name":"Taipei Neuroscience Institute, Taipei Medical University, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4118-0745","authenticated-orcid":false,"given":"Cheng-Ta","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shuang Ho Hospital, Taipei Medical University, Zhonghe New Taipei City, Taiwan"},{"name":"Taipei Neuroscience Institute, Taipei Medical University, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1","volume-title":"Cephalalgia","author":"Headache Classification Committee of the International Headache Society (IHS) the International Classification of Headache Disorders, 3rd edition","year":"2018","unstructured":"Headache Classification Committee of the International Headache Society (IHS) the International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211."},{"key":"e_1_3_3_3_2","first-page":"25","volume-title":"Atlas of Common Pain Syndromes","author":"Waldman SDMDJD","unstructured":"Waldman SDMDJD. Occipital neuralgia. In: Waldman SDMDJD, ed. Atlas of Common Pain Syndromes. Elsevier, Inc.; 2024:25-29."},{"key":"e_1_3_3_4_2","first-page":"8834865","article-title":"Referred trigeminal facial pain from occipital neuralgia occurring much earlier than occipital neuralgia","volume":"2020","author":"Son BC.","year":"2020","unstructured":"Son BC. Referred trigeminal facial pain from occipital neuralgia occurring much earlier than occipital neuralgia. Case Rep Neurol Med. 2020;2020:8834865.","journal-title":"Case Rep Neurol Med"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.29333\/ejgm\/16073"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.4103\/joacp.JOACP_62_21"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.08.027"},{"key":"e_1_3_3_8_2","volume-title":"Bradley and Daroff\u2019s Neurology in Clinical Practice","author":"Garza I","unstructured":"Garza I, Robertson CE, Smith JH, Whealy MA. Headache and other craniofacial pain. In: Jankovic JMD, Mazziotta JCMDP, Pomeroy SLMDP, Newman NJMD, eds. Bradley and Daroff\u2019s Neurology in Clinical Practice. Elsevier, Inc.; 2022:1745-1782.e7."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1227\/neu.0000000000002578"},{"key":"e_1_3_3_10_2","volume-title":"Youmans and Winn Neurological Surgery","author":"Cetas JS","unstructured":"Cetas JS, Johnson N, Raslan AM, Burchiel KJ. Evidence base for destructive procedures. In: Winn HRMD, ed. Youmans and Winn Neurological Surgery. Elsevier, Inc.; 2023:1556-1562.e7."},{"key":"e_1_3_3_11_2","first-page":"857","volume-title":"Practical Management of Pain","author":"Nader A","unstructured":"Nader A, Moon JY, Leemputte M, Candido KD. Head and neck blocks. In: Benzon H, ed. Practical Management of Pain. Elsevier, Inc.; 2023:857-873."},{"key":"e_1_3_3_12_2","first-page":"390","volume-title":"Plastic Surgery, Volume 3: Craniofacial, Head and Neck Surgery and Pediatric Plastic Surgery","author":"Schoenbrunner A","unstructured":"Schoenbrunner A, Janis JE. Surgical management of facial pain, including migraines. In: Losee JEMD, Hopper RAMDMS, eds. Plastic Surgery, Volume 3: Craniofacial, Head and Neck Surgery and Pediatric Plastic Surgery. 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