Study summary · research use only
Occipital condyle syndrome: self diagnosed
Plain-language summary
Paraphrased from the published abstract below — not a verdict on whether anything works.
This case report describes a 71-year-old man who presented with unilateral lower motor neuron hypoglossal palsy and occipital headache, having independently identified and shared a paper on occipital condyle syndrome with his clinician. Subsequent investigations found underlying prostatic carcinoma with widespread metastasis to bones including the base of the skull. He was initially treated with tapering doses of dexamethasone and was, at the time of reporting, receiving the depo gonadorelin analogue leuprorelin. Seven months after the diagnosis, the report notes his headache had improved and tongue deviation was stable.
Abstract
We present the case of a 71-year-old man who presented to us with unilateral lower motor neuron hypoglossal palsy along with the characteristic occipital headache. He himself forwarded a paper on occipital condyle syndrome to the clinician who initially reviewed him. Later the patient underwent a series of investigations that confirmed the diagnosis of underlying prostatic carcinoma with widespread metastasis to bones including the base of the skull. Seven months after the diagnosis he is doing well, his headache is much better and the tongue deviation is stable. He was initially treated with tapering doses of dexamethasone and is currently receiving the depo gonadorelin analogue leuprorelin.
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