Related Experiment Videos
Cervicogenic headache: criteria, classification and epidemiology
1Department of Neurology, Trondheim University Hospitals, Norway.
Clinical and Experimental Rheumatology
|May 29, 2000
Summary
Cervicogenic headache (CEH) originates in the neck, typically presenting as unilateral head pain that may spread forward. Key indicators include neck stiffness and pain triggered by neck movement.
Area of Science:
- Neurology
- Pain Medicine
- Physical Therapy
Background:
- The concept of neck-related headaches has a long history.
- The term "cervicogenic headache" (CEH) was established in 1983.
- CEH is characterized by unilateral head pain originating from the neck.
Purpose of the Study:
- To define and emphasize the distinct characteristics of cervicogenic headache.
- To differentiate CEH from other headache types, such as migraine.
Main Methods:
- Clinical observation and definition of CEH characteristics.
- Description of pain patterns, including unilaterality and spread.
- Identification of associated neck-related signs and symptoms.
Main Results:
- CEH is primarily unilateral, often starting in the neck and radiating forward.
- Strict unilaterality is uncommon; pain may extend contralaterally but remains dominant on one side.
- Associated signs include reduced neck range of motion, mechanical provocation, and ipsilateral shoulder/arm symptoms.
Conclusions:
- Cervicogenic headache has specific unilateral pain features and neck-related clinical signs.
- Understanding these features is crucial for accurate diagnosis and differentiating CEH from migraine.