Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment

@article{Bogduk2009CervicogenicHA,
  title={Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment},
  author={Nikolai Bogduk and Jayantilal Govind},
  journal={The Lancet Neurology},
  year={2009},
  volume={8},
  pages={959-968}
}

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TLDR
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References

SHOWING 1-10 OF 125 REFERENCES
Introduction: Comparison of Cervicogenic Headache With Migraine
  • S. Evers
  • Medicine
    Cephalalgia : an international journal of headache
  • 2008
TLDR
Basic research on the convergence of upper cervical spine afferents and trigeminal pathways has given the possibility to explain referred pain as the underlying mechanism of the perception of cervicogenic headache.
Cervicogenic headaches: a critical review.
  • S. Haldeman, S. Dagenais
  • Medicine, Psychology
    The spine journal : official journal of the North American Spine Society
  • 2001
Spinal manipulation and headaches of cervical origin.
  • H. Vernon
  • Medicine, Psychology
    Journal of manipulative and physiological therapeutics
  • 1989
TLDR
The topic of cervical headaches in general is reviewed and the current model of cervicogenic headache is critiqued, with a representative case history used to illustrate the thesis that the current models may be too restrictive.
Cervicogenic Headache: Evaluation of the Original Diagnostic Criteria
TLDR
The chances of diagnosing a definite CEH are significantly more frequent in patients presenting with unilateral pain that also begins as a neck pain, and an improvement of the current diagnostic IHS criteria might make it possible to avoid the existing, partial overlap of CEH with HN and M.
Cervicogenic headache: Anatomic basis and pathophysiologic mechanisms
  • N. Bogduk
  • Medicine
    Current pain and headache reports
  • 2001
TLDR
Experiments in normal volunteers have established that the cervical muscles and joints can be sources of headache.
Surgical Treatment of Cervicogenic Headache
  • J. Jansen
  • Medicine
    Cephalalgia : an international journal of headache
  • 2008
TLDR
The late results of operative treatment on 60 patients, suffering from long lasting severe unilateral or bilateral cervicogenic headache, non-responsive to other treatment options, will be summarized to suggest well-selected CEH patients may benefit from surgical intervention.
Cervicogenic Headache: Diagnostic Criteria
Criteria for the diagnosis of cervicogenic headache are proposed, which include unilateral head pain, symptoms and signs of neck involvement, non-clustering episodic moderate pain originating in the
Cervicogenic headache: prevalence and response to local steroid therapy.
  • M. Anthony
  • Medicine, Psychology
    Clinical and experimental rheumatology
  • 2000
TLDR
Injections of depot methylprednisolone into the region of the GON and LON produced complete relief of headache in 169 out of 180 patients with CEH for a period ranging from 10 to 77 days, suggesting that local steroid injections by blocking the cervico-trigeminal relay, can arrest other forms of unilateral headache.
Cervicogenic Headache. Radiological Investigations Concerning Head/Neck
TLDR
The different investigations showed no typical characteristic pathology in the group of patients with cervicogenic headache and no indication of a common therapeutic approach could be derived from these investigations.
...
1
2
3
4
5
...