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occipital headache

Etiology: - posterior fossa lesion [1] - rheumatoid arthritis with cervical spine instability; C1, C2 subluxation [2] Clinical manifestations: - dysmetria from posterior fossa lesion - myelopathy from cervical vertebral subluxation - arm paresthesia, hyperreflexia - increased risk of intubation Radiology: - neuroimaging: brain MRI

References

  1. NEJM Knowledge+
  2. Medical Knowledge Self Assessment Program (MKSAP) 11, 14, 15, 16, 17, 18, 19. American College of Physicians, Philadelphia 1998, 2006, 2009, 2012, 2015, 2018, 2022. - Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022