Current Pain and Headache Reports

, Volume 5, Issue 4, pp 382–386 | Cite as

Cervicogenic headache: Anatomic basis and pathophysiologic mechanisms

  • Nikolai Bogduk
Article

Abstract

Cervicogenic headache is pain perceived in the head but referred from a primary source in the cervical spine. The physiologic basis for this pain is convergence between trigeminal afferents and afferents from the upper three cervical spinal nerves. The possible sources of cervicogenic headache lie in the structures innervated by the C1 to C3 spinal nerves, and include the upper cervical synovial joints, the upper cervical muscles, the C2-3 disc, the vertebral and internal carotid arteries, and the dura mater of the upper spinal cord and posterior cranial fossa. Experiments in normal volunteers have established that the cervical muscles and joints can be sources of headache.

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Copyright information

© Current Science Inc 2001

Authors and Affiliations

  • Nikolai Bogduk
    • 1
  1. 1.Newcastle Bone and Joint InstituteUniversity of Newcastle, Royal Newcastle HospitalNewcastleAustralia

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