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Migraine and the neck

J N Blau1, E A MacGregor

  • 1City of London Migraine Clinic, UK.

Headache
|February 1, 1994
PubMed
Summary
This summary is machine-generated.

Migraine attacks often involve neck symptoms, with pain frequently occurring during the headache phase. This suggests a connection between migraine and neck issues, possibly involving shared nerve pathways.

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Area of Science:

  • Neurology
  • Pain Medicine
  • Headache Disorders

Background:

  • Migraine is a complex neurological disorder characterized by severe head pain.
  • The role of extracranial structures, particularly the neck, in migraine pathophysiology is increasingly recognized.

Purpose of the Study:

  • To investigate the occurrence and characteristics of neck symptoms in patients experiencing migraine.
  • To explore the potential of the neck as a trigger for migraine attacks.

Main Methods:

  • A survey was conducted with 50 migraine patients.
  • Patients were questioned about neck symptoms (pain, stiffness) during premonitory, headache, and postdromal phases of their migraine attacks.
  • Inquiries were made regarding the neck's potential role as a migraine precipitant.

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Main Results:

  • Out of 50 patients, 32 reported neck pain or stiffness during migraine attacks.
  • Neck symptoms were reported during the premonitory phase (10 patients), headache phase (30 patients), and postdromally (10 patients).
  • Migraine-related neck pain radiated to the shoulder in 7 patients and the lumbar region in 1 patient.

Conclusions:

  • The findings suggest significant extracerebral involvement in the migraine process.
  • There appears to be an overlap in the distribution pathways of the trigeminal nerve (involved in migraine) and cervical nerves (related to neck structures).
  • Neck symptoms are a common feature of migraine and may be linked to the underlying pathophysiology.