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Cervicogenic headache. Josey's cases revisited

M Vincent1, R A Luna

  • 1Serviço de Neurologia, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil. vincent@unisys.com.br

Arquivos De Neuro-Psiquiatria
|June 18, 1998
PubMed
Summary

Neck-related headaches, now termed cervicogenic headache (CR), were described as early as 1949. Early case reports highlighted key features, suggesting this headache type has long been recognized.

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Neck-related headaches have a history predating the formal term "cervicogenic headache" (CR).
  • Despite diagnostic criteria, ongoing debate exists regarding CR's clinical presentation, diagnosis, pathophysiology, and treatment.

Purpose of the Study:

  • To examine historical perspectives on neck-related headaches.
  • To highlight early clinical observations that align with current understanding of cervicogenic headache.

Main Methods:

  • Review of historical medical literature.
  • Analysis of a 1949 case report by Josey on "illustrative" cases of cervical-related headaches.

Main Results:

  • Josey's 1949 report described cases with features consistent with cervicogenic headache, including pain characteristics and triggers.

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  • Key observations included pain unilaterality, relation to trauma, forehead irradiation, and mechanical precipitation of attacks.
  • The recommended treatments in 1949 were traction and analgesics.

    • Conclusions:

    • Cervicogenic headache (CR) is likely a common disorder, with early clinical recognition dating back to at least 1949.
    • Formal description and recognition of CR were significantly advanced by Sjaastad's group in the 1980s.