Occipital spur

Case contributed by Amina Hameed
Diagnosis certain

Presentation

Neck pain radiating to shoulders no history of trauma

Patient Data

Age: 45 years
Gender: Male
x-ray

Straightening of cervical lordosis due to muscle spasm.

Incidental finding of exaggerated occipital protuberance/ occipital spur - the patient is not tender at this point.

Case Discussion

The external occipital protuberance is a midline bony prominence in the occipital bone in which the ligamentum nuchae and trapezius muscle attach to its tip. When exaggerated it is called an occipital spur. It is usually an incidental finding. 

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