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Zervikogener Kopfschmerz

Cervicogenic headache

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Zusammenfassung

Der zervikogene Kopfschmerz stellt ein Syndrom von gleichartigen Reaktionsmustern auf funktionelle oder strukturelle Störungen der oberen HWS dar, er tritt bei ca. 2,5% der Bevölkerung auf, Frauen sind 3-mal häufiger betroffen. Inzwischen liegen operationalisierte Kriterien der International Headache Society zur Diagnostik dieser Kopfschmerzform vor, die sich ausschließlich auf die Semiologie der Kopfschmerzen stützen. Für wissenschaftliche Untersuchungen wird zusätzlich noch die Wirksamkeit einer Blockade des N. occipitalis major gefordert. Pathoanatomische Grundlage des zervikogenen Kopfschmerzes ist das sog. Konvergenzprinzip. Danach kommt es im oberen Rückenmark und im unteren Hirnstamm zu einer Konvergenz von sensiblen Afferenzen der Wurzeln C1–C3 mit Afferenzen des N. trigeminus.

Abstract

Cervicogenic headache is a syndrome that can be described as a common reaction to functional or structural disturbances of the upper cervical spine. Such headaches occur in about 2.5% of the population, with a female preponderance of 3 to 1. Meanwhile, the International Headache Society has provided diagnostic criteria for this headache type; these are based exclusively on the symptoms reported by patients. For the purposes of scientific investigations, efficacy of blockade of the major occipital nerve is also claimed. The pathoanatomic basis of the cervicogenic headache is the principle of convergence, meaning that afferent nerve fibres in the upper cervical spine converge with afferent fibres of the trigeminal nerve in the brain stem and in the cervical part of the spinal cord.

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Literatur

  1. Anthony M (2000) Cervicogenic headache: prevalence and response to local steroid therapy. Clin Exp Rheumatol 18[Suppl 19]:59–64

  2. Aprill C, Axinn MJ, Bogduk N (2002) Occipital headaches stemming from the lateral atlanto axial (C1–2) joint. Cephalalgia 22:15–22

    Article  CAS  PubMed  Google Scholar 

  3. Bovim G, Sand T (1992) Cervicogenic headache, migraine without aura and tension-type headache. Diagnostic blockade of greater occipital and supra-orbital nerves. Pain 51:43–48

    Article  CAS  PubMed  Google Scholar 

  4. Bovim G, Fredriksen TA, Stolt-Nielsen A, Sjaastad O (1992) Neurolysis of the greater occipital nerve in cervicogenic headache. A follow up study. Headache 32:175–179

    CAS  PubMed  Google Scholar 

  5. Busch E, Wilson PR (1989) Atlanto-occipital and atlanto-axial injections in the treatment of headache and neck-pain. Reg Anesth 14:45

    Google Scholar 

  6. Campbell DG, Parsons CM (1944) Referred head pain and its concomitants. J Nerv Dent Ment Dis 99:544–551

    Google Scholar 

  7. Cyriax J (1938) Rheumatic headache. BMJ 2:1367–1368

    Google Scholar 

  8. D'Amico D, Leone M, Bussone G (1994) Side-locked unilaterality and pain localization in long-lasting headaches: migraine, tension-type headache, and cervicogenic headache. Headache 34:526–530

    CAS  PubMed  Google Scholar 

  9. Dreyfuss P, Michaelsen M, Fletcher D (1994) Atlanto-occipital and lateral atlanto-axial joint pain patterns. Spine 19:1125–1131

    CAS  PubMed  Google Scholar 

  10. Dwyer A, Aprill C, Bogduk N (1990) Cervical zygapophyseal joint pain patterns. I: A study in normal volunteers. Spine 15:453–457

    CAS  PubMed  Google Scholar 

  11. Ehni G, Benner B (1984) Occipital neuralgia and the C1–2 arthrosis syndrome. J Neurosurg 61:961–965

    CAS  PubMed  Google Scholar 

  12. Ellis BD, Kosmorsky GS (1995) Referred ocular pain relieved by suboccipital injection. Headache 35:101–103

    CAS  PubMed  Google Scholar 

  13. Fredriksen TA, Sjaastad O (2000) Cervicogenic headache: current concepts of pathogenesis related to anatomical structure. Clin Exp Rheumatol 18 [Suppl 19]:16–18

  14. Frese A, Schilgen M, Husstedt IW, Evers S (2003). Pathophysiologie und Klinik zervikogener Kopfschmerzen. Schmerz 17:125–130

    CAS  PubMed  Google Scholar 

  15. Fukui S, Ohseto K, Shiotani M, Ohno K, Karasawa H, Naganuma Y, Yuda Y (1996) Referred pain distribution of the cervical zygapophyseal joints and cervical dorsal rami. Pain 68:79–83

    Article  CAS  PubMed  Google Scholar 

  16. Headache Classification Committee of the International Headache Society (1988) Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 8 [Suppl 7]:1–92

  17. Keidel M, Ramadan NM (2000) Acute posttraumatic headache. In: Olesen J, Tfelt-Hansen P, Welch KMA (eds) The headaches. Lippincott, Williams, Wilkins, Philadelphia, pp 765–770

  18. Kerr FW (1972) Central relationships of trigeminal and cervical primary afferents in the spinal cord and medulla. Brain Res 43:561–572

    Article  CAS  PubMed  Google Scholar 

  19. Lord SM, Barnsley L, Wallis BJ, Bogduk N (1994) Third occipital nerve headache: a prevalence study. J Neurol Neurosurg Psychiatry 57:1187–1190

    CAS  PubMed  Google Scholar 

  20. Nilsson N (1995) The prevalence of cervicogenic headache in a random population sample of 20–59 years olds. Spine 20:1884–1888

    CAS  PubMed  Google Scholar 

  21. Pfaffenrath V, Kaube H (1990) Diagnostics of cervcogenic headache. Funct Neurol 5:159–164

    CAS  PubMed  Google Scholar 

  22. Rasmussen BK (1995) Epidemiology of headache. Cephalalgia 15:48–68

    Google Scholar 

  23. Sjaastad O, Fredriksen TA, Pfaffenrath V (1990) Cervicogenic headache: diagnostic criteria. Headache 30:725–726

    CAS  PubMed  Google Scholar 

  24. Sjaastad O, Fredriksen TA, Pfaffenrath V (1998) Cervicogenic headache: diagnostic criteria. Headache 38:442–445

    Article  CAS  PubMed  Google Scholar 

  25. Sjaastad O, Fredriksen TA (2002) Cervicogenic headache: lack of influence of pregnancy. Cephalalgia 22:667–671

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik und Poliklinik für Neurologie, Universitätsklinikum Münster

    S. Evers

  2. Klinik und Poliklinik für Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Str. 33, 48129 , Münster

    S. Evers

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Correspondence to S. Evers.

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Evers, S. Zervikogener Kopfschmerz. Manuelle Medizin 42, 99–102 (2004). https://doi.org/10.1007/s00337-003-0263-7

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