Headache of extracranial origin

California Medicine
|November 1, 1958
PubMed

Insights

Cervical spine pressure on nerves and vessels causes headaches. Conditions like osteophytosis and neck injuries can lead to vascular or neural disorders, resulting in pain.

Area of Science:

  • Neurology
  • Orthopedics
  • Anatomy

Background:

  • The cervical spine, vital for head support, also houses critical vessels and nerves.
  • Limited space within the cervical spine makes these structures vulnerable to pressure.
  • Cervical spine issues are a significant cause of headaches.

Purpose of the Study:

  • To explore the relationship between cervical spine anatomy and headache.
  • To identify mechanisms by which cervical spine pathologies cause pain.
  • To describe specific headache syndromes linked to cervical nerve disturbances.

Main Methods:

  • Review of anatomical structures within the cervical spine.
  • Analysis of how posture and injury affect cervical structures.
  • Description of neurological pathways involved in cervical pain.

Main Results:

  • Cervical foramina are constricted by cartilage, the vertebral artery, and joints.
  • Osteophytosis, swelling, or adhesions in the cervical spine cause vascular or neural disorders.
  • Neck posture, traction, or sprain can lead to vertebral artery compression and nerve irritation, causing headaches.
  • Skillern syndrome (migraine-like headache) is linked to the second cervical nerve and trigeminal nerve communication.
  • Minor scalp injuries can trigger headaches via irritated trigger areas.

Conclusions:

  • Cervical spine structures play a crucial role in headache etiology.
  • Understanding cervical anatomy and pathology is key to diagnosing and treating certain headaches.
  • Nerve and vascular compression within the cervical spine are significant headache triggers.

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