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Occipital neuralgia is caused by damage to the occipital nerves, which can arise from trauma (usually concussive or cervical), physical stress on the nerve, repetitive neck contraction, flexion or extension, and/or as a result of medical complications (such as osteochondroma, a benign bone tumour).
The occipital sinus is the smallest of the dural venous sinuses. It is usually unpaired, and is sometimes altogether absent. It is situated in the attached margin of the falx cerebelli. It commences near the foramen magnum, and ends by draining into the confluence of sinuses. Occipital sinuses were discovered by Guichard Joseph Duverney.
In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
Many people who feel like they have a sinus headache are actually diagnosed with migraine, experts say. Here's how to tell the difference, according to experts.
Other symptoms include headache, fatigue, aching in the teeth, pressure or pain in the ears, and mucus dripping down the back of the throat (or postnasal drainage), per the Mayo Clinic.
The confluence of sinuses (Latin: confluens sinuum), torcular Herophili, or torcula is the connecting point of the superior sagittal sinus, straight sinus, and occipital sinus. It is below the internal occipital protuberance of the skull. It drains venous blood from the brain into the transverse sinuses.
The symptoms are occipital headache, cough, middle ear effusion, cervical myalgia, and halitosis, i.e. bad breath. When there is an enlargement of the cyst, it causes symptoms like nasal obstruction, post-nasal discharge with foul-smelling odour, blockage of the Eustachian tube causing otalgia and secretory otitis media, retro-orbital pain.
Frontal – may cause pain or pressure in the frontal sinus cavity (above the eyes), often experienced as headache, particularly in the forehead area. Ethmoidal – may cause pain or pressure pain between or behind the eyes, along the sides of the upper nose ( medial canthi ), and headaches.