A small bursal space at the occipitomastoid suture junction between the occipital bone and mastoid process, where the occipitalis and posterior auricular muscles attach. It may become inflamed from repetitive neck extension or direct impact.
Occipitomastoid bursitis contributes to suboccipital pain at the posterolateral skull base, in the territory of the greater occipital nerve. It is distinguished from occipital neuralgia by its periosteal rather than neural character. Deep suboccipital injection at this suture line addresses both the bursa and adjacent deep cervical musculature.
Bursal inflammation at the occipitomastoid suture producing suboccipital pain reproduced by direct palpation at the skull base junction, managed with injection and neck flexor strengthening.
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