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[Headache in cervical syndrome]

J Dvorak1, B Wälchli

  • 1Neurologische Abteilung, Schulthess-Klinik, Zürich.

Therapeutische Umschau. Revue Therapeutique
|February 1, 1997
PubMed
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Headaches can stem from cervical spine issues, with studies showing a strong link between neck disorders and head pain. Understanding this connection is key for diagnosing and treating cervicogenic headaches.

Area of Science:

  • Neurology
  • Orthopedics
  • Pain Medicine

Context:

  • Headache is a frequent complaint in patients with cervical spine disorders.
  • The prevalence of headaches linked to cervical spine issues ranges significantly, particularly with degenerative changes (13-79%) and indirect trauma (48-82%).

Purpose:

  • To explore the neuroanatomical and neurophysiological basis for head pain originating from the cervical spine.
  • To review the concept and diagnostic criteria for cervicogenic headaches.

Summary:

  • The upper cervical spine's relationship with trigeminal nuclei explains head pain in cervical disorders.
  • Suboccipital muscle tension, third occipital nerve irritation, and C2/C3 joint degeneration are implicated pain sources.
  • Cervicogenic headaches, defined by Sjaastad and the International Headache Society, present as unilateral, migraine-like pain with specific neck-related triggers and symptoms.

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Impact:

  • Highlights the direct causative role of cervical spine mechanical derangement in cervicogenic headaches.
  • Provides a foundation for understanding the pathophysiology of cervicogenic headaches.
  • Emphasizes the importance of considering cervical spine evaluation in headache diagnosis.