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Indian J Nucl Med. 2019 Jan-Mar;34(1):48-50. doi: 10.4103/ijnm.IJNM_99_18.

Occipital Condyle Syndrome Caused by Isolated Bone Metastases from Thyroid Cancer.

Author information

1
Department of Nuclear Medicine, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India.
2
Department of Surgical Oncology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India.
3
Department of Neurosurgery, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India.
4
Department of Radiotherapy, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India.

Abstract

Occipital condyle syndrome is a rare cause of pain in the head which is characterized by severe and persistent unilateral suboccipital headache with unilateral hypoglossal nerve palsy. We report an elderly female who presented with dysarthria and suboccipital headache. On further evaluation, she was found to have a solitary bone metastases from thyroid cancer. She was treated with local radiation therapy for pain relief, total thyroidectomy, and high-dose radioiodine therapy. The patient is presently free of pain with very good control of the thyroid cancer status.

KEYWORDS:

Occipital condyle syndrome; radioiodine ablation; skull base; thyroid cancer

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