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Cervicogenic Headache

Cervicogenic Dizziness


Presentation

  • RESULTS: In this study, 10% of the patients had atypical presentation of cervicogenic headache.[ncbi.nlm.nih.gov]
Nausea
  • While cervicogenic traits (mechanical precipitation etc.) were frequently present in CEH, 'migraine traits', like nausea, vomiting, and throbbing seemed to be rarely present.[ncbi.nlm.nih.gov]
  • It is not often associated with nausea or aggravated by any form of physical activity.[kingsleyphysio.com]
Neck Pain
  • Headache and neck pain was diagnosed according to International Headache Society (IHS) criteria. Twelve of 50 patients with cervical disc prolapse reported new headache and neck pain.[ncbi.nlm.nih.gov]
Tinel's Sign
  • On physical examination, all had occipital nerve tenderness or positive Tinel sign over the occipital nerve. All responded well to occipital nerve blocks with local anesthetic, achieving complete or substantial pain relief lasting up to 2 months.[ncbi.nlm.nih.gov]
Musculoskeletal Pain
  • J Musculoskeletal Pain 1996, 4 :81–94. CrossRef Google Scholar Copyright information Current Science Inc 2001 Authors and Affiliations Nikolai Bogduk 1 1.[link.springer.com]
Benign Paroxysmal Positional Vertigo
  • In addition, dislodged otoconia often also enter the lumen of the semicircular canals, resulting in canal lithiasis and post-traumatic benign paroxysmal positional vertigo (BPPV). 55 It must be borne in mind that canal lithiasis can involve not only the[jnnp.bmj.com]
Suggestibility
  • The purpose of this clinical suggestion is to review the literature on CGH and develop an evidence-led approach to assessment and clinical management of CGH.[ncbi.nlm.nih.gov]
Severe Unilateral Headaches
  • A 77-year-old man was admitted to the anesthesiology department (pain unit) with a 3-month history of severe unilateral headache.[ncbi.nlm.nih.gov]
Headache
  • Seven patients (58%) fulfilled the 2004 IHS criteria for cervicogenic headache. Two of 50 patients with lumbar disc prolapse had new headaches. Their headaches did not fulfil the criteria for cervicogenic headache.[ncbi.nlm.nih.gov]
Vertigo
  • They introduced the syndrome as cervical vertigo. As true spinning vertigo is rarely associated with this syndrome, cervicogenic dizziness is a more correct name for this syndrome and will be used here.[vestibular.org]
  • "Neurophysiology of vertigo with special reference to cervical vertigo. A review." Acta Belgica - Medica Physica 9(3): 183-94. Norre, M. E. (1987). "Cervical vertigo.[dizziness-and-balance.com]
  • Here you can read posts from all over the web from people who wrote about Cervical Myelopathy and Vertigo, and check the relations between Cervical Myelopathy and Vertigo. I am seeing a gyne next week. Video: amețeli și dureri în gât.[elyzeyiko.ml]
  • Here you can read posts from all over the web from people who wrote about Cervical Myelopathy and Vertigo, and check the relations between Cervical Myelopathy and Vertigo.[ducucoqysekyj.tk]
Hyperalgesia
  • RESULTS: The main difference between patients with or without CEH was the lateralization of pressure hyperalgesia to the painful side of the head of CEH patients, accompanied by cold as well as warm relative hyperesthesia on the painful side of the head[ncbi.nlm.nih.gov]
  • Needle position for greater occipital block An effective method of detecting occipital neuralgia or cervicogenic headache caused by hyperalgesia of the occipital nerve is to palpate the branches at their superficial distribution near the superior nuchal[practicalpainmanagement.com]

Treatment

  • Pain was assessed pre- and post-injection and 3 and 6 months post treatments. RESULTS: The mean treatment period was 59 /- 61 days.[ncbi.nlm.nih.gov]

Prognosis

  • In general, the prognosis for patients with cervicogenic dizziness is good, with 75 percent of patients having improvement of symptoms. Author: Diane M. Wrisley, PhD, PT, NCS References Brown JJ. Cervical contributions to balance: cervical vertigo.[vestibular.org]
  • Prognosis for cervicogenic headache Most patients with this condition heal quickly and have a full recovery with appropriate physiotherapy treatment.[physioadvisor.com.au]
  • PROGNOSIS Cervical vertigo is poorly defined, and due to this, no relevant studies exist of prognosis. In the author's clinical practice, his impression is that cervical vertigo is a poor prognosis condition.[dizziness-and-balance.com]
  • The purpose of physiotherapy and all our services is to treat disease, injury and disability by examination, evaluation, diagnosis, prognosis and intervention by use of rehabilitative procedures, mobilization, massage, exercises, and physical agents to[perfectbalanceclinic.com]

Etiology

  • Historically, these types of headaches were difficult to diagnose and treat because their etiology and pathophysiology was not well-understood. Even today, management of a CGH remains challenging for sports rehabilitation specialists.[ncbi.nlm.nih.gov]
  • It is similar to other non-specific spinal conditions in its relative lack of high level evidence regarding pathoanatomical etiology.[physio-pedia.com]

Epidemiology

  • Sjaastad O, Fredriksson TA (2000) Cervicogenic Headache; Criteria, Classificatin and Epidemiology Clin Exp Rheumatol 18(Suppl 19):S3-6.[chiro.org]
  • Vågå study of headache epidemiology. Acta Neurol Scand 2008, 117: 173–180. 10.1111/j.1600-0404.2007.00962.x View Article PubMed Google Scholar Antonaci F, Sjaastad O: Cervicogenic headache: a real headache.[thejournalofheadacheandpain.springeropen.com]
  • Prevalence of cervicogenic headache: Vaga study of headache epidemiology. Acta Neurol Scand. 2008; 117 :170–183. [ PubMed ] 9. van Suijlekom HA, Lame I, Stomp-van den Berg SG, Kessels AG, Weber WE.[ncbi.nlm.nih.gov]
  • Prevalence of cervicogenic headache: Vågå study of headache epidemiology. Acta Neurologica Scandinavica, 117(3), 173-180. Sjaastad, O., Fredriksen, T. A., & Pfaffenrath, V. (1998). Cervicogenic Headache: Diagnostic Criteria.[raynersmale.com]
Sex distribution
Age distribution

Pathophysiology

  • Historically, these types of headaches were difficult to diagnose and treat because their etiology and pathophysiology was not well-understood. Even today, management of a CGH remains challenging for sports rehabilitation specialists.[ncbi.nlm.nih.gov]

Prevention

  • Prevention Some occurrences of cervicogenic headaches are not preventable. This is the case with headaches stemming from a condition like osteoarthritis, which tends to set in with age.[healthline.com]
  • Because cervicogenic headaches originate from the neck, the neck should be the focus for preventing and treating such headaches.[theergonomicphysio.com.au]
  • Cervicogenic headaches – prevention The best way to prevent cervicogenic headaches is to keep the muscles and bones of the neck healthy. Bone health begins with a healthy diet filled with calcium-rich foods.[paindoctor.com]
  • A primary treatment modality and prevention technique is exercise. Exercise in general has been shown to be beneficial in treating and preventing cervical pain and headaches.[thephysicaltherapyadvisor.com]
  • Fortunately, there are concrete steps and guidelines you can follow to help treat and prevent cervicogenic headaches.[backandneck.ca]

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