understanding cervicogenic headache
نویسندگان
چکیده
the purported mechanism underlying the development and progression of cervicogenic headache (ceh) is the convergence of sensory inputs at the trigeminocervical nucleus. this mechanism explains the radiation of pain from the neck or the occipitonuchal area and its spread to the oculo-fronto-temporal region; it also explains the recurrent headaches caused by improper neck postures or external pressure to the structures in the neck and the occipital region. these neural connectivity mechanisms involving the trigeminal nucleus are also evident from the eyeblink reflex and findings of quantitative sensory testing (qst). understanding the mechanisms underlying the development of ceh is important because it will not only provide a better treatment outcome but will also allow practitioners to appreciate the variability of symptomatic presentations in these patients.
منابع مشابه
Understanding Cervicogenic Headache
The purported mechanism underlying the development and progression of cervicogenic headache (CEH) is the convergence of sensory inputs at the trigeminocervical nucleus. This mechanism explains the radiation of pain from the neck or the occipitonuchal area and its spread to the oculo-fronto-temporal region; it also explains the recurrent headaches caused by improper neck postures or external pre...
متن کامل[Cervicogenic headache].
In 2004 cervicogenic headache was introduced into ICD-10 classification. The reasons of cervicogenic headache are changes within bones, soft tissue and nervous structures of cervical spine section. The pain may spread to the neck, occipital area of skull, area of jaw and eyeballs, and arms. There are many theories trying to explain spreading of the pain outside the area innervated by C1, C2 and...
متن کاملNon-cervicogenic Headache
The statistics on Chiropractic practice would suggest that after low back pain the next most frequent cause of chiropractic consultation is neck pain and headache (6,7,8). The cervicogenic component in headache is found so commonly, in the experience of the authors, that it could be possible to visualise a degree of complacency about the cause of headache creeping into practice. It only takes o...
متن کاملRadiofrequency treatment of cervicogenic headache
OBJECTIVES In the clinical management of facial pain, a possible cervical origin must be considered. A clinical exploration is therefore essential. The disorder originates in the intimate connections between the cranial portion of the spinal cord and the trigeminal system. Although solid evidence supporting the use of radiofrequency (RF) treatment is lacking, it remains one of the management op...
متن کاملSurgical treatment of cervicogenic headache.
In the present work, the late results of operative treatment on 60 patients, suffering from long lasting severe unilateral (n = 32) or bilateral (n = 28) cervicogenic headache, non-responsive to other treatment options, will be summarized. Cervicogenic headache (CEH) was diagnosed according to 'The Cervicogenic Headache International Study Group' guidelines. The cervical levels of affection wer...
متن کاملCervicogenic headache after whiplash injury.
Cervicogenic headache (CEH) with pain radiating from the neck to the forehead is a common finding after whiplash injury. In most whiplash studies, the whiplash headaches are not defined. Post-whiplash CEH typically is a moderate headache with a benign, but often prolonged course. It probably is unilateral and bilateral. Reduced neck mobility does not seem to be as common after whiplash as in ch...
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عنوان ژورنال:
anesthesiology and pain medicineجلد ۲، شماره ۱، صفحات ۳-۴
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