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… Expand
Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis
TLDR
The study suggests that patients with cervical spondylosis complicated with CEH are always accompanied by neck pain and anterior cervical decompression and fusion can not only relieve neck pain but also improve the accompanying CEH. Expand
Cervicogenic headache alleviation after cervical coblation nucleoplasty
TLDR
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. Expand
Headache and Neck
  • M. Vincent
  • Medicine
  • Current pain and headache reports
  • 2011
TLDR
There is no definite, universal treatment for CeH yet, but options include physical therapy, preventive medicines, anesthetic blocks, denervation procedures, and surgery. Expand
Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment
TLDR
This Review outlines the basic science and clinical evidence for cervicogenic headache and indicates how opposing approaches to its definition and diagnosis affect the evidence for its clinical management, and provides recommendations that enable a pragmatic approach to the diagnosis and management of probable and definite cervical headache. Expand
Headache and neck
TLDR
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. Expand
Chapter 16 – Cervicogenic Headache
TLDR
Although there are no FDA approved medications for cervicogenic headache, medications such as gabapentin, topiramate, or duloxetine may have a clinical role and interventions, such as occipital nerve anesthetic blockade or cervical neurotomy, may be considered. Expand
Cervicogenic Headache Hypothesis and Anterior Cervical Decompression as a Treatment Paradigm
TLDR
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. Expand
Cervicogenic headache: It is time to call for more attention
TLDR
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. Expand
Headache relief after anterior cervical discectomy: post hoc analysis of a randomized investigational device exemption trial: clinical article.
TLDR
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. Expand
Musculoskeletal physiotherapists' perceptions of non-responsiveness to treatment for cervicogenic headache
TLDR
Examining the perceptions of experienced musculoskeletal physiotherapists regarding the features associated with non-responsiveness to treatment in adults and children with CH found that history of severe trauma, genetic history of CH or other headache types, and immunological comorbidities were considered to be associated with CH in children, but without the non- Responsiveness of adults. Expand
...
1
2
3
4
...

References

SHOWING 1-10 OF 13 REFERENCES
Cervicogenic headache. Smith/Robinson approach in bilateral cases.
TLDR
Bilateral, Smith/Robinson operated CEH patients seemed to fare as well as unilateral ones, and immediately postoperatively - up to 2-3 months - there was pain freedom. Expand
Headache and the lower cervical spine: long-term, postoperative follow-up after decompressive neck surgery.
TLDR
The headache characteristics were generally compatible with the criteria for cervicogenic headache (CEH) (1990 version), and should probably be taken into account when evaluating the individual patient with symptoms reminiscent of CEH. Expand
Surgical treatment of non-responsive cervicogenic headache.
  • J. Jansen
  • Medicine
  • Clinical and experimental rheumatology
  • 2000
TLDR
Various surgical treatments are suggested to treat long-lasting severe CEH in patients not responsive to any physical or drug therapy and about 80% of surgically treated patients were relieved of pain or improved during a long period of follow up. Expand
Cervicogenic Headache
  • D. Fishbain
  • Medicine
  • Cephalalgia : an international journal of headache
  • 2002
TLDR
Emphasis should be placed not on trying to delineate a cervicogenic diagnosis, but on developing IHS headache diagnoses which allow for the addition of neck-associated symptoms, as both of these studies indicate that neck- associated symptoms are common across headache diagnostic groups. Expand
Lower Cervical Disc Prolapse May Cause Cervicogenic Headache: Prospective Study in Patients Undergoing Surgery
TLDR
An association of low cervical prolapse with cervicogenic headache is shown: headache and neck pain improves or disappears in 80% of patients after surgery for the cervical disc prolapse, indicating that pain afferents from the lower cervical roots can converge on the cervical trigeminal nucleus and the nucleus caudalis. Expand
The anterior approach for removal of ruptured cervical disks.
TLDR
The operation of vertebral-body fusion following subtotal removal of the disk with partial laminectomy has been employed since 1943 and in the writer's experience has proven to be superior to any other operative procedure employed for relief of pain in the back and leg caused by ruptured lumbar disks. Expand
The cervical zygapophysial joints as a source of neck pain.
TLDR
The high yield of positive responders in this study probably reflects the propensity of patients with zygapophysial joint syndromes to gravitate to a pain clinic when this condition is not recognised in conventional clinical practice. Expand
Cervicogenic headache: long‐term prognosis after neck surgery
TLDR
The postoperative fate of chronic, hard‐to‐treat and partly suicidal cervicogenic headache patients treated with a decompression/stabilization operation in the cervical spine: the Smith/Robinson operation is evaluated. Expand
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 theExpand
Role of the upper cervical roots in the production of pain in the head.
TLDR
The anatomic basis upon which rests the concept that upper cervical root disease might initiate this syndrome is described, to present the clinical data of these cases and also to present certain data concerning the dermatomes of the upper cervical roots as they have been elicited following operation. Expand
...
1
2
...