Headache: A Common Symptom of Cervical Disk Lesions

Raney, Aidan A.; Raney, Rupert B.

doi:10.1001/archneurpsyc.1948.02300400039002

Cited by 43 publications

(16 citation statements)

References 6 publications

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“…Apesar dos critérios serem facilmente aplicáveis, o diagnóstico diferencial com a cefaléia cervicogênica e as outras cefaléias de origem cervical pode ser difícil. Algumas características que podem contribuir para o diagnóstico são: dor unilateral ou menos frequentemente bilateral, podendo irradiar-se para região retro-orbital 9 , temporal, braços e ombros 10 ; eventualmente associada a fotofobia 11 , náuseas e vômitos 12 , hiperestesia ou disestesia na distribuição do nervo; duração de horas até dias 13 ; discreta predominância para o sexo feminino 14 início após posição sustentada da cabeça, por longo período de tempo, como ocorre em leituras prolongadas ou posições inadequadas durante o sono 15 , sintomas esses que muitas vezes podem também ser característicos das cefaléia cervicogênica. Na Tabela 1 encontram-se dispostas comparativamente algumas características clínicas destes três grupos álgicos.…”

Section: Discussionunclassified

Nevralgia do occipital maior associada a lesão osteolítica occipital: relato de caso

Piovesan¹,

Werneck

Kowacs

et al. 1999

Arq. Neuro-Psiquiatr.

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RESUMO -A distribuição anatômica do nervo occipital maior durante o seu trajeto permite íntima relação com estruturas musculares, tendinosas, vasculares e ósseas. A quebra deste relacionamento pode originar a sua irritação e cefaléia. Descrevemos uma associação rara: sexo feminino; 50 anos; cefaléia com evolução de 2 anos; localizada em região occipital direita irradiando-se para região hemicrânica e supraorbitária direita; espontânea e ou desencadeada pela digito compressão sobre a região de emergência do nervo occipital maior ao nível do trapézio; duração de 30 minutos; compressiva; moderada intensidade; sem fenômenos autonômicos associados; sem resposta terapêutica com o bloqueio anestésico do nervo occipital maior. Investigação radiológica mostrou lesão osteolítica localizada e aderida ao nível da inserção do tendão do músculo trapézio. A melhora total dos sintomas após descompressão cirúrgica do nervo permite relacionar esta lesão aos sintomas álgicos apresentados, compatíveis com nevralgia do occipital maior. PALAVRAS-CHAVE: cefaléia, lesão osteolítica, nevralgia do occipital maior, neuropatia compressiva, osso occipital.Greater occipital neuralgia associated to an occipital osteolytic lesion: case report ABSTRACT -The anatomic distribution of the greater occipital nerve during its path permits a close relationship with muscular structures, tendons, vessels and bones. The rupture of this relationship can origin its irritation and headache. We describe an uncommon association between an osteolytic lesion on occipital bone and greater occipital nerve. The patient, female 50, has been presenting headache for two years on the right occipital region spreading to the hemicranic and ipsilateral supraorbital region. The symptoms started spontanously or by pressure on the trapezius tendon. The pain lasted about 30 minutes, compressive, mild intensity, with no autonomic symptoms and no improvement after the infiltration in the greater occipital nerve. The total improvement of the symptoms after releasing the nerve has allowed us to associate this lesion to the presence of algic symptoms.KEY WORDS: entrapment neuropathy, greater occipital neuralgia, headache, occipital bone.Os nervos occipital maior, menor e o trigêmeo fornecem aferências sensitivas para os neurônios de segunda ordem, localizados ao nível do núcleo caudado do trigêmeo e dos primeiros segmentos cervicais 1,2 . Estímulos dolorosos sobre o nervo occipital maior proporcionam alteração no metabolismo destes neurônios e, se forem sustentados, o aparecimento de síndromes álgicas cranianas

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Section: Discussionunclassified

Nevralgia do occipital maior associada a lesão osteolítica occipital: relato de caso

Piovesan¹,

Werneck

Kowacs

et al. 1999

Arq. Neuro-Psiquiatr.

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“…The patients described in this report underwent avulsion of the GON, either with intraspinal section of the sensory root of C2, or with intraspinal sections of the sensory roots of C2 and C3. Raney and Raney [15], meanwhile, investigated the intervertebral cervical disc as a possible trigger factor for headache.…”

Section: The Early Descriptionsmentioning

confidence: 99%

Concepts leading to the definition of the term cervicogenic headache: a historical overview

et al. 2005

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IntroductionThe term cervicogenic headache (CEH) refers to a head pain condition that has its origin in the neck. Such ideasheadache of nuchal origin -must have occupied the minds of men for centuries. A more systematic search for such headaches seems to have been made only from the early stages of last century [1]. The reason for the lack of breakthrough of such ideas was probably the vague, indistinct descriptions of the headache in the original works, and confusion with other headaches, like migraine without aura and tension-type headache, none of which were properly defined at that time. Cardinal symptoms, beside the headache, were supposed to be dizziness, visual disturbances and tinnitus -the attacks in part lasting two to three hours. This constellation of symptoms has little to do with the CEH picture that we know today. Clinicians who conscientiously were searching for cases of headache stemming from the neck on those premises could be easily and widely misled. An overview of the early description could be the basis for a better understanding of the current terminology as far as CEH is concerned. J Headache Pain (2005) 6:462-466 DOI 10.1007 Concepts leading to the definition of the term cervicogenic headache: a historical overview

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“…Dieser verschwand nach einer Dekompressionsoperation der Wurzel C7 ebenso wie die Zervikobrachialgien und trat während einer Nachbeobachtungsphase von 38 Monaten nicht wieder auf [39]. Äl-tere Arbeiten postulierten ebenfalls Diskopathien der mittleren und unteren HWS als Ursache von Kopfschmerzen [6,46]. Denkbar ist in diesen Fällen eine sekundäre Beseitigung einer Funktionsstö-rung der oberen HWS durch Behandlung einer strukturellen Veränderung der unteren Segmente.…”

Section: Offene Fragenunclassified

Pathophysiologie und Klinik zervikogener Kopfschmerzen

Frese

Schilgen²,

Husstedt³

et al. 2003

Der Schmerz

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Cervicogenic headache (CH) originates from disorders of the neck but is recognized as a referred pain in the head. Primary sensory afferents from the cervical roots C1-C3 converge with afferents from the occiput and trigeminal afferents on the same second-order neuron in the upper cervical spine. Consequently, the anatomical structures innervated by the cervical roots C1-C3 are potential sources of CH. In normal volunteers, the painful stimulation of different anatomical structures of the neck produced headache. In CH, particular structures have been selectively anesthetized in order to identify possible sources of pain. In summary, CH can origin from different muscles and ligaments of the neck, from intervertebral discs,and, particularly, from the atlantooccipital, atlantoaxial, and C2/C3 zygapophyseal joints. Diagnosis of CH should adhere strictly to the published diagnostic criteria to avoid misdiagnosis and confusion with primary headache disorders such as migraine and tension type headache.

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Headache: A Common Symptom of Cervical Disk Lesions

Cited by 43 publications

References 6 publications

Nevralgia do occipital maior associada a lesão osteolítica occipital: relato de caso

Nevralgia do occipital maior associada a lesão osteolítica occipital: relato de caso

Concepts leading to the definition of the term cervicogenic headache: a historical overview

Pathophysiologie und Klinik zervikogener Kopfschmerzen

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