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Occipital headache
Journal of Clinical Neuroscience 20 (2013) 582
Contents lists available at SciVerse ScienceDirect
Journal of Clinical Neuroscience journal homepage: www.elsevier.com/locate/jocn
Images in Neuroscience: Question
Occipital headache Alberto Bazzocchi a,b,⇑, Paolo Spinnato a, Hodman Ahmed Sheikh Maye c, Giancarlo Facchini a, Maria Grazia Cattani d, Marco Leonardi c a
Imaging Division, Clinical Department of Radiological and Histocytopathological Sciences, University of Bologna, Sant’Orsola – Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy b Diagnostic and Interventional Radiology, ‘‘Rizzoli’’ Orthopaedic Institute, Bologna, Italy c Institute of Neurological Sciences, IRCCS Bellaria Hospital, Bologna, Italy d Unit of Anatomic Pathology, IRCCS Bellaria Hospital, Bologna, Italy
1. Clinical background A 34-year-old woman with no relevant medical history underwent a CT scan for persistent occipital headache. The symptom, consisting of occipital pain, arose 3 months before the imaging examination. The patient noticed a worsening of the headache during the night. Nonsteroidal anti-inflammatory drugs helped in relieving the pain. CT brain images are presented in Fig. 1.
2. What is the most likely diagnosis? A. B. C. D. E.
Osteomyelitis Eosinophilic granuloma Osteoid osteoma Osteoblastoma Multiple myeloma
Answer is presented on page 622.
Fig. 1. Axial plain CT scan of the brain (left) and bone (right). A small lesion affecting the occipital bone was detected at the highest axial sections next to the lambdoid suture. There was a 1-cm semicircular area characterized by a low-attenuation nidus with central mineralization and minimal sclerosis surrounding the nidus.
DOI of answer: http://dx.doi.org/10.1016/j.jocn.2012.11.004
⇑ Corresponding author. Tel.: +39 051 6364964; fax: +39 051 397738. E-mail address: [email protected] (A. Bazzocchi). 0967-5868/$ - see front matter Ó 2012 Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.jocn.2012.09.018
Contents lists available at SciVerse ScienceDirect
Journal of Clinical Neuroscience journal homepage: www.elsevier.com/locate/jocn
Images in Neuroscience: Question
Occipital headache Alberto Bazzocchi a,b,⇑, Paolo Spinnato a, Hodman Ahmed Sheikh Maye c, Giancarlo Facchini a, Maria Grazia Cattani d, Marco Leonardi c a
Imaging Division, Clinical Department of Radiological and Histocytopathological Sciences, University of Bologna, Sant’Orsola – Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy b Diagnostic and Interventional Radiology, ‘‘Rizzoli’’ Orthopaedic Institute, Bologna, Italy c Institute of Neurological Sciences, IRCCS Bellaria Hospital, Bologna, Italy d Unit of Anatomic Pathology, IRCCS Bellaria Hospital, Bologna, Italy
1. Clinical background A 34-year-old woman with no relevant medical history underwent a CT scan for persistent occipital headache. The symptom, consisting of occipital pain, arose 3 months before the imaging examination. The patient noticed a worsening of the headache during the night. Nonsteroidal anti-inflammatory drugs helped in relieving the pain. CT brain images are presented in Fig. 1.
2. What is the most likely diagnosis? A. B. C. D. E.
Osteomyelitis Eosinophilic granuloma Osteoid osteoma Osteoblastoma Multiple myeloma
Answer is presented on page 622.
Fig. 1. Axial plain CT scan of the brain (left) and bone (right). A small lesion affecting the occipital bone was detected at the highest axial sections next to the lambdoid suture. There was a 1-cm semicircular area characterized by a low-attenuation nidus with central mineralization and minimal sclerosis surrounding the nidus.
DOI of answer: http://dx.doi.org/10.1016/j.jocn.2012.11.004
⇑ Corresponding author. Tel.: +39 051 6364964; fax: +39 051 397738. E-mail address: [email protected] (A. Bazzocchi). 0967-5868/$ - see front matter Ó 2012 Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.jocn.2012.09.018