Clinical Aspects of Cervicogenic Headache Keiko Shimohata 1 , Takayoshi Shimohata 2 1Department of Anesthesiology, Kameda-Daiichi Hospital 2Department of Neurology, Gifu University Graduate School of Medicine Keyword: 頸原性頭痛 , 頸部疾患 , 三叉神経頸髄複合体 , 収束 , cervicogenic headache , cervical spine disorder , trigeminocervical complex , convergence pp.251-258
Published Date 2020/3/1
DOI https://doi.org/10.11477/mf.1416201514
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Cervicogenic headache (CEH) is a lateralized non-pulsative headache syndrome caused by cervical spine disorders. The headache is initiated in the neck, which subsequently spreads to the occipital, frontal, and orbital regions, and is accompanied by ipsilateral shoulder pain. The prevalence of CEH is considered to be 15-20% among cases of chronic headache. With regard to the mechanism of CEH, convergence of upper cervical nerves and trigeminocervical complex might play an important role. However, CEH in many patients has been reported to be associated with middle to lower cervical disorders, which cannot be explained by this theory. We therefore proposed the possibility that the condition reported here is another type of CEH. The treatment of CEH requires a multidisciplinary approach, because pharmacological treatment is often ineffective.

(Received August 16 2019; Accepted November 25, 2019; Published March 1, 2020)

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