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Cervicogenic headache: a real headache.

Fabio Antonaci1, Ottar Sjaastad

  • 1University Consortium for Adaptive Disorders and Headache Pavia, Pavia, Italy.

Current Neurology and Neuroscience Reports
|December 3, 2010
PubMed
Summary
This summary is machine-generated.

Cervicogenic headache, originating in the neck, presents with unilateral pain often moving to the front. This study found a prevalence of 2.2% in a population-based survey, with a mean onset age of 33 years.

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Area of Science:

  • Neurology
  • Pain Medicine
  • Epidemiology

Background:

  • Theories of neck-originating headaches date back over 150 years.
  • The term "cervicogenic headache" was established in 1983.
  • Early descriptions noted symptoms like dizziness and posterior headache, often in older individuals.

Purpose of the Study:

  • To characterize the clinical presentation of cervicogenic headache.
  • To determine the prevalence of cervicogenic headache in a defined population.
  • To explore potential treatment options for refractory cases.

Main Methods:

  • A population-based study involving 1,838 individuals was conducted.
  • Data collection included patient demographics, symptom presentation, and pain characteristics.
  • Prevalence was calculated based on identified "core" cases.

Main Results:

  • Cervicogenic headache typically involves unilateral pain starting posteriorly and moving anteriorly.
  • Associated symptoms include ipsilateral arm discomfort and reduced neck range of motion.
  • A prevalence of 2.2% "core" cases was identified in the study population.

Conclusions:

  • Cervicogenic headache has distinct clinical features, including specific pain patterns and associated symptoms.
  • The condition affects individuals with a mean age of onset of 33 years.
  • Cervical stabilization and electrical stimulation are potential treatments for resistant cases.