1. Neck-tongue syndrome is due to compression of the C2 ventral ramus. There may be neck pain, occipital numbness, and tongue paresthesias on turning the head. Some patients have congenital abnormalities of the cervical spine.
2. Third occipital headache may have occipital and suboccipital pain. It is a postwhiplash injury headache with temporary and partial relief with nerve blocks. It probably is due to degenerative arthritis of the C2-3 facet joint and is not neurologic in origin.
3. Greater auricular nerve damage is commonly caused by surgery to the neck and face, especially rhytidectomy (face-lift) with numbness around the ear and later, painful neuromas. CEA, parotid surgery, and leprosy can be causative. NERVE CONDUCTIONS CAN BE CONFIRMATORY.
4. Lesser occipital nerve injury occurs during lymph node dissection in the neck (also gets the accessory nerve). The presentation is numbness behind the ear.
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