Cervicogenic Headache: A Real Headache

Cervicogenic Headache: A Real Headache

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : Fabio Antonaci & Ottar Sjaastad
  • چاپ و سال / کشور: 2010

Description

Although theories regarding headache originating in the neck have existed for more than 150 years, the term “cervicogenic headache” originated in 1983. Early descriptions pinpoint the characteristic symptoms as dizziness, visual disturbances, tinnitus, and “posterior” headache, conceivably as a consequence of arthrosis, infliction upon the vertebral artery, or with a “migrainous” background and occurring in “advanced age.” Cervicogenic headache (mean age of onset, 33 years) displays a somewhat different picture: unilateral headache, starting posteriorly, but advancing to the frontal area, most frequently the main site of pain; usually accompanied by ipsilateral arm discomfort, reduced range of motion in the neck, and mechanical precipitation of exacerbations (eg, through external pressure upon hypersensitive, occipital tendon insertions). Treatment options in treatment-resistant cases include cervical stabilization operations and extracranial electrical stimulation. In a personal, population-based study of 1,838 individuals (88.6% of the population), a prevalence of 2.2% “core” cases was found.
Curr Neurol Neurosci Rep (2011) 11:149–155 DOI 10.1007/s11910-010-0164-9 Published online: 3 December 2010
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