Suboccipital neuropathy after bone conduction device placement
H. T. Faber and J. A. de Ru
Department of Otorhinolaryngology, Central Military Hospital, Utrecht, The Netherlands
BAHA, bone-anchored hearing aid, bone conduction device, occipital neuropathy
247 - 250
Suboccipital neuropathy after bone conduction device placement. Objective: To describe the clinical charac- teristics of a 70-year-old female with occipital neuropathy following bone conduction device surgery. Description: A 65-year-old woman underwent bone conduction device placement surgery on the left temporal bone. Postoperatively she progressively developed chronic pain at the implantation site. The pain led to minimal neck move- ment, which resulted in complaints of the shoulder and arm on the left side. She was treated by an orthopaedic surgeon for a frozen shoulder. Pain medication and occipital nerve blocking had no sustained effect on the pain. Discussion: Occipital neuropathy is a syndrome with continuous aching involving the occipi nd parietal scalp caused by trauma or peripheral compression of the occipital nerves. The most common causes of occipital neuropathy are ­probably­ direct­ trauma­ to­ the­ nerve­ and­ hypertrophic­ fibrosis­ of­ subcutaneous­ tissue­ surrounding­ the­ nerve.­ Scar­ formation after surgery may therefore cause entrapment of the nerve. Conclusion: We describe a case of occipital neuropathy as a complication of BAHA surgery.
Vol. 9, 2013, 3rd trimester

Suboccipital neuropathy after bone conduction device placement