Can occipital neuralgia be one sign of multiple sclerosis?

Very very rarely!: Different types of neuralgia can be seen in ms including occipital neuralgia. Almost all of the time, these occur in patients who have already been diagnosed with ms. It is extremely unlikely for it to be the presenting symptom. Most likely you have already had a brain MRI for your headache. If that is clear, i say chances are very very low that you will go on to develop ms. Hope this helps!