title: Occipital neuralgia as the only presenting symptom of foramen magnum meningioma.
abstract: BACKGROUND
  Occipital neuralgia (ON) is a condition characterized by a paroxysmal stabbing pain in the area of the greater or lesser occipital nerves; it is usually regarded by clinicians as idiopathic. Some have suggested that ON can be induced by trauma or injury of the occipital nerves or their roots, but tumor has rarely been reported as a cause of ON.
  
  
  METHODS
  We report herein a case of foramen magnum meningioma in a 55-year-old woman who presented with ON triggered by head motion as the only symptom without any signs of myelopathy.
  
  
  CONCLUSIONS
  This case indicates that it is important to consider the underlying causes of ON. Precise neurologic and radiological evaluations such as cervical spine magnetic resonance imaging are needed.
authors.affiliation: Department of Neurology, Dongguk University College of Medicine, Goyang, Korea.
authors.forename: Nam-Hee
authors.initials: NH
authors.lastname: Kim
authors.forename: Seung-Yeob
authors.initials: SY
authors.lastname: Yang
authors.forename: Joon-Bum
authors.initials: JB
authors.lastname: Koo
authors.forename: Sang-Wuk
authors.initials: SW
authors.lastname: Jeong