Cervical headache

Bogduk, Nikolai; Corrigan, Brian; Kelly, Paul; Schneider, Greg; Farr, Rod

doi:10.5694/j.1326-5377.1985.tb122915.x

Cited by 33 publications

(6 citation statements)

References 12 publications

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“…Structural and functional complexities in the upper cervical spine frequently contribute to local cervical pain and cervicogenic headaches 6,62 . Symptoms arising from these regions are complicated by afflictions involving the dura mater, vertebrobasilar arterial system, and the autonomic nervous system 63–65 .…”

Section: Examinationmentioning

confidence: 99%

“…Symptoms arising from these regions are complicated by afflictions involving the dura mater, vertebrobasilar arterial system, and the autonomic nervous system 63–65 . The vertebral arteries and upper cervical dura are innervated by the first three cervical nerves, making them capable of produce similar headache symptoms 6,66 . Moreover, hemorrhage, tumors, arteriovenous malformations, and systemic diseases (such as temporal arteritis, systemic arthritides, hypertension, migraine, infections) must be differentially ruled out when examining a patient with headache.…”

Section: Examinationmentioning

confidence: 99%

“…Mechanical cervical spine pathology produces painful and limited cervical movement, as a consequence of dysfunction in the muscles and C0 to C2 articulations. Additionally, affliction in the C2C3 intervertebral disc, zygapophyseal joints (ZAJ), and/or uncovertebral joints (UVJ) 6 can contribute to the clinical presentation, complicated by the hypomobile adaptation, 7–9 and/or hypermobility/instability 7 of the upper cervical spine in the context of aging. Finally, the clinician is challenged with understanding the role of systemic disease 10–13 or trauma 14–20 in the patient's upper cervical clinical picture.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Management of Cervicogenic Headache

Sizer

Phelps²,

Azevedo

et al. 2005

Pain Practice

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Upper cervical pain and/or headaches originating from the C0 to C3 segments are pain-states that are commonly encountered in the clinic. The upper cervical spine anatomically and biomechanically differs from the lower cervical spine. Patients with upper cervical disorders fall into two clinical groups: (1) local cervical syndrome; and (2) cervicocephalic syndrome. Symptoms associated with various forms of both disorders often overlap, making diagnosis a great challenge. The recognition and categorization of specific provocation and limitation patterns lend to effective and accurate diagnosis of local cervical and cervicocephalic conditions.

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Section: Examinationmentioning

confidence: 99%

Section: Examinationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Management of Cervicogenic Headache

Sizer

Phelps²,

Azevedo

et al. 2005

Pain Practice

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“…The exact pathoanatomic and pathophysiologic basis for cervicogenic headaches is unclear. Numerous authors have proposed a neurophysiologic basis for these types of headaches (26)(27)(28)(29)(30)(31)(32). Ascending fibers from the C1 and C2 nerve roots are intimately involved with the trigeminal nucleus at the level of the brainstem.…”

Section: Pathophysiologymentioning

confidence: 99%

Cervicogenic Headache

Chou

2002

Pain Phys

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Chronic headache is a significant medical and socioeconomic problem resulting in severe disability and impairment. The term "cervicogenic headache" was coined by Sjaastad in 1983, who also proposed criteria for its diagnosis. Cervicogenic headache as described by Sjaastad et al is characterized as recurrent, long lasting, severe unilateral headache arising from the neck.Exact pathoanatomic and pathophysiologic basis for cervicogenic headache is unclear. Numerous authors have proposed various theories ranging from neurophysiologic basis involving ascending fibers from the C1 and C2 nerve roots to multiple pain generators in pain-sensitive structures involved in head movement. Thus, cervicogenic headache should be considered as a descriptive term rather than a final diagnosis. Because of the numerous potential pain generators, neither uniform clinical findings, nor a pathophysiology has been defined for the entity known as cervicogenic headache. Sequential diagnostic injections may elucidate pain generators and differentiate it from other types of headaches. This review describes the epidemiological and clinical aspects of cervicogenic headache, pathophysiology, diagnostic strategies to differentiate it from other common headaches and describes various non-operative treatment strategies.

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“…The AO joint is a true, innervated synovial joint proven as a possible source of pain [7,8]. Nociceptive ability of the AO joint has already been confirmed [9].…”

Section: Introductionmentioning

confidence: 97%