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Cervicogenic headache: the controversial headache
1Department of Neurology, Regionsykehuset i Trondheim, Trondheim University Hospital, Norway.
Clinical Neurology and Neurosurgery
|January 1, 1992
Summary
Cervicogenic headache originates in the neck, unlike common migraine. Key differences include neck involvement signs and pain characteristics, aiding in accurate diagnosis.
Area of Science:
- Neurology
- Pain Medicine
- Headache Disorders
Background:
- Cervicogenic headache and common migraine are distinct headache types.
- Differentiating these conditions is crucial for effective treatment.
Purpose of the Study:
- To elucidate the key differentiating features between cervicogenic headache and common migraine.
- To provide clear diagnostic criteria for clinicians.
Main Methods:
- Comparative analysis of clinical presentation and diagnostic signs.
- Review of patient-reported symptoms and physical examination findings.
Main Results:
- Cervicogenic headache presents with unilateral pain originating in the neck, often with reduced neck range of motion.
- Mechanical stimulation or neck movement can trigger cervicogenic headache attacks.
- Associated symptoms like ipsilateral arm/shoulder pain are common in cervicogenic headache, but not migraine.
Conclusions:
- Distinct clinical features allow for differentiation between cervicogenic headache and common migraine.
- Recognition of neck involvement is key to diagnosing cervicogenic headache.
- Accurate diagnosis based on these features improves patient management.