Surgical Treatment of Cervicogenic Headache

@article{Jansen2008SurgicalTO,
  title={Surgical Treatment of Cervicogenic Headache},
  author={J{\"u}rgen Jansen},
  journal={Cephalalgia},
  year={2008},
  volume={28},
  pages={41 - 44}
}
  • J. Jansen
  • Published 1 July 2008
  • Medicine
  • Cephalalgia
In the present work, the late results of operative treatment on 60 patients, suffering from long lasting severe unilateral (n = 32) or bilateral (n = 28) cervicogenic headache, non-responsive to other treatment options, will be summarized. Cervicogenic headache (CEH) was diagnosed according to ‘The Cervicogenic Headache International Study Group’ guidelines. The cervical levels of affection were determined by neurological examination, magnetic resonance imaging (MRI), computed tomography (CT… 
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It is indicated that cervicogenic headaches may benefit from nucleoplasty, and significant pain relief rate, Neck Disability Index (NDI) headache scores, and Patients Satisfaction Index (PSI) scores were recorded to evaluate headache severity and physical function postoperatively.

Cervicogenic headache alleviation after cervical coblation nucleoplasty A prospective cohort study

It is indicated that cervicogenic headaches may bene able to be saved from nucleoplasty after open cervical surgery.

Headache and Neck

  • M. Vincent
  • Medicine
    Current pain and headache reports
  • 2011
There is no definite, universal treatment for CeH yet, but options include physical therapy, preventive medicines, anesthetic blocks, denervation procedures, and surgery.

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

Headache and the Neck

Criteria such as mechanical precipitation of pain by digital pressure on neck trigger points and specific movements, strictly unilateral pain without side-shift, diffuse unilateral shoulder and arm pain, pain starting posteriorly and spreading anteriorly should be integral part of the classification.

Chapter 16 – Cervicogenic Headache

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The anterior cervical spine surgery has shown promise in the treatment of cervicogenic headaches and this success has hinted at a ventral source of nociceptive pathology.

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A 28-year-old female with a history of headache for six months, who was admitted into hospital because of ‘intractable headache,’ the author examined the patient and found a jumping tenderness over the right greater occipital nerve.

Headache relief after anterior cervical discectomy: post hoc analysis of a randomized investigational device exemption trial: clinical article.

Most patients with symptomatic cervical spondylosis have headache as a preoperative symptom, and anterior cervical discectomy with both arthroplasty and arthrodesis is associated with a durable decrease in headache.

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