The Clinical Features, Risk Factors, and Surgical Treatment of Cervicogenic Headache in Patients With Cervical Spine Disorders Requiring Surgery

Shimohata, Keiko; Hara, Kazuhiro; Onodera, Osamu; Nishizawa, Masatoyo; Shimohata, Takayoshi

doi:10.1111/head.13123

Cited by 36 publications

(40 citation statements)

References 16 publications

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“…8,9 Nearly all patients with CGH tend to have myofascial trigger points on the symptomatic side. 10 While there does not appear to be a consistent consensus among all the headache specialists regarding the definition of CGH, we found the International Headache Society's classification of headaches (ICHD-3) to be helpful. They note the diagnostic criteria of CGH include clinical and/or imaging evidence of cervical spine disorder and at least 2 of the following characteristics: A, temporal relation of origination of headache with cervical spine disorder; B, resolution or improvement in cervical spine disorder correlates with resolution or improvement of headache; C, headache can be provoked by certain neck movements and/or Valsalva maneuvers; D, headache eliminated after diagnostic cervical spine injections.…”

Section: Discussionmentioning

confidence: 59%

“…1 A recent study in the Japanese population using ICHD-3 criteria estimated prevalence of CGH to be approximately 22% of all headaches. 10 Greater than 85% of patients with cervical radiculopathy or myeloradiculopathy are noted to have associated CGHs. 2,3 The high prevalence, significant morbidity, and decreased quality of life with CGH underscore the importance of understanding its pathogenesis.…”

Section: Discussionmentioning

confidence: 99%

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Headache Relief Is Maintained 7 Years After Anterior Cervical Spine Surgery: Post Hoc Analysis From a Multicenter Randomized Clinical Trial and Cervicogenic Headache Hypothesis

et al. 2020

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Objective: To evaluate whether anterior cervical spine surgery offers sustained (7 years) relief in patients with cervicogenic headaches (CGHs), and evaluate the difference between cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF) for 1 and 2-level surgeries from a multicenter randomized clinical trial. Methods: A post hoc analysis was performed of 575 patients who underwent one or 2-level CDA or ACDF for symptomatic cervical spondylosis as part of a prospective randomized clinical trial. Assessment of pain and functional outcome was done with the Neck Disability Index (NDI) in the trial. We used the NDI headache component to assess headache outcome. Results: For both 1-and 2-level CDA and ACDF groups, there was significant headache improvement from preoperative baseline out to 7 years (p < 0.0001). For 1-level surgeries, headache improvement was similar for both groups at the 7-year point. For 2-level treatment, CDA patients had significantly improved headache scores versus ACDF patients at the 7-year point (p = 0.016). Conclusion: The headache improvement noted at early follow-up was sustained over the long-term period with ACDF and CDA populations. In the case of 2-level operations, CDA patients demonstrated significantly greater benefit compared to ACDF patients over the long-term. Sinuvertebral nerve irritation at the unco-vasculo-radicular junction and anterior dura may be the cause of CGH. Therefore, it is possible that improved cervical kinematics and preservation of range of motion at adjacent uncovertebral joints in CDA may contribute to the observed difference between the groups.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Headache Relief Is Maintained 7 Years After Anterior Cervical Spine Surgery: Post Hoc Analysis From a Multicenter Randomized Clinical Trial and Cervicogenic Headache Hypothesis

et al. 2020

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“… 27 Included in the NDI is the headache severity index, using an ordinal scale. This headache measurement was originally used by Riina et al, 28 and later by Schrot et al, 8 and Shimohata et al 15 Headaches are rated as none (0), mild (1 or 2), or severe (3, 4, or 5). 28 Shimohata et al 15 also compared VAS and NDI scores for headache in patients with cervical spondylosis, which were highly correlated.…”

Section: Discussionmentioning

confidence: 99%

“…Severities of neck pain and headache were assessed with neck pain NDI and headache NDI. 14 , 15 Originally, NDI was used widely as a tool to assess disability of cervical spine function due to neck pain. Now it was also used as an index to evaluate severity of headache.…”

Section: Methodsmentioning

confidence: 99%

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<p>Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis</p>

Pang

Liu

Peng

2020

JPR

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Study Design Retrospective study. Objective To report the efficacy of anterior cervical surgery for the relief of cervicogenic headache (CEH) caused by cervical spondylosis. Methods From January 2014 to December 2016, a total of 166 cases of cervical radiculopathy and/or myelopathy received anterior cervical decompression and fusion (ACDF) in our institution, among which 50 cases (mean age 44.7 years) were accompanied by CEH and followed up at 3, 6, 12, and 24 months postoperatively, respectively. Neck pain and headache scores according to neck disability index (NDI) were documented for all patients at regular intervals. The results measured at different follow-up time point were compared statistically. Results All 50 patients reported neck pain and headache at the same time before surgery. The average NDIs for neck pain before and after surgery were 2.86 (95% CI: 2.7–3.0) preoperatively, 0.98 (95% CI: 0.8–1.1) at 3 months, 0.68 (95% CI: 0.5–0.9) at 6 months, 0.62 (95% CI: 0.5–0.8) at 12 months, and 0.60 (95% CI: 0.4–0.8) at 24 months postoperatively, respectively. The average NDIs for CEH before and after surgery were 2.32 (95% CI: 2.2–2.5) preoperatively, 0.62 (95% CI: 0.5–0.8) at 3 months, 0.60 (95% CI: 0.4–0.8) at 6 months, 0.56 (95% CI: 0.4–0.7) at 12 months, and 0.50 (95% CI: 0.3–0.7) at 24 months postoperatively, respectively. The neck pain and headache improved in all cases and the NDI score of neck pain or headache at each follow-up point after surgery was significantly different from that before surgery (P <0.001). The simple correlation analysis between neck pain and headache was performed, and the Pearson coefficient r was 0.71, indicating a positive correlation between neck pain NDI and headache NDI. No serious surgical complications were found. Conclusion Our study suggests that patients with cervical spondylosis complicated with CEH are always accompanied by neck pain. ACDF can not only relieve neck pain but also improve the accompanying CEH.

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The tracts, cytoarchitecture, and neurochemistry of the spinal cord

Tan

Faull

Curtis

2022

The Anatomical Record

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The human spinal cord can be described using a range of nomenclatures with each providing insight into its structure and function. Here we have comprehensively reviewed the key literature detailing the general structure, configuration of tracts, the cytoarchitecture of Rexed's laminae, and the neurochemistry at the spinal segmental level. The purpose of this review is to detail current anatomical understanding of how the spinal cord is structured and to aid researchers in identifying gaps in the literature that need to be studied to improve our knowledge of the spinal cord which in turn will improve the potential of therapeutic intervention for disorders of the spinal cord.

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The Clinical Features, Risk Factors, and Surgical Treatment of Cervicogenic Headache in Patients With Cervical Spine Disorders Requiring Surgery

Cited by 36 publications

References 16 publications

Headache Relief Is Maintained 7 Years After Anterior Cervical Spine Surgery: Post Hoc Analysis From a Multicenter Randomized Clinical Trial and Cervicogenic Headache Hypothesis

Headache Relief Is Maintained 7 Years After Anterior Cervical Spine Surgery: Post Hoc Analysis From a Multicenter Randomized Clinical Trial and Cervicogenic Headache Hypothesis

<p>Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis</p>

The tracts, cytoarchitecture, and neurochemistry of the spinal cord

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