Which symptom is commonly associated with cervical myelopathy?

• A. Headache
• B. Occipital pain
• C. Seizures
• D. Chest pain

Answer: (B)

Cervical myelopathy often presents with neck pain that can be referred to the occipital region because the upper cervical nerves (especially around C2) and the greater occipital nerve supply the back of the head. When the cervical spine is affected, irritation and muscle spasm in this tight upper-cervical area frequently produce pain that localizes to the occipital region. This pattern makes occipital pain a common symptom in cervical spine pathology, including myelopathy.

Headache can occur with many conditions and is not as tightly linked to the cervical spine specifically. Seizures reflect cortical or systemic problems rather than cervical cord compression. Chest pain points away from cervical spinal issues and toward cardiac or thoracic causes.