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Cervicogenic Headache: A Real Headache

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Abstract

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.

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Authors and Affiliations

  1. University Consortium for Adaptive Disorders and Headache (UCADH) Pavia, Pavia, Italy

    Fabio Antonaci

  2. Headache Medicine Centre Policlinic of Monza, Monza, Italy

    Fabio Antonaci

  3. Department of Neurology, St. Olav’s Hospital, Trondheim University Hospitals, Olav Kyrres gt. 17, Trondheim, Norway

    Ottar Sjaastad

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  1. Fabio Antonaci
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  2. Ottar Sjaastad
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Correspondence to Ottar Sjaastad.

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Antonaci, F., Sjaastad, O. Cervicogenic Headache: A Real Headache. Curr Neurol Neurosci Rep 11, 149–155 (2011). https://doi.org/10.1007/s11910-010-0164-9

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  • DOI: https://doi.org/10.1007/s11910-010-0164-9

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