Paroxysmal stabbing pain in the distribution of the greater or lesser occipital nerves may be confused with other causes of head and facial pain. Tenderness may be elicited with pressure over the affected nerve. Injection of local anesthetic drugs relieves the pain and is helpful in confirming the diagnosis.
Excerpted from BCSC 2020-2021 series: Section 5 - Neuro-Ophthalmology. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.