Abstract
Diagnostic criteria for cervicogenic headache (CH) have been proposed. These criteria are controversial in that they appear to overlap or include characteristics that usually are attributed to migraine headache (MH). Whether these criteria are specific enough to separate CH patients from MH patients remains to be controversial. The literature on this issue is reviewed. In addition, the authors report the results of a study attempting to build a model of variables typically associated with CH or MH, which would identify patients with CH. A significant model could not be built that did not include MH symptoms. As such, it has been concluded that it is unlikely that the criteria for CH will have the specificity required to separate CH patients from MH patients.
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References and Recommended Reading
Sjaastad O, Bovim G: Cervicogenic headache: the differentiation from common migraine: an overview. Funct Neurol 1991, 6:93–100.
D’Amico D, Leone M, Bussone G: Side-locked unilaterality and pain localization in long-lasting headaches: migraine, tension-type headache, and cervicogenic headache. Headache 1994, 34:526–530.
Sjaastad O, Bovim G, Stovner L: Laterality of pain and other migraine criteria in common migraine: a comparison with cervicogenic headache. Funct Neurol 1992, 7:289–294.
Sjaastad O: Cervicogenic headache. Clin Neurol Neurosurg 1992, 94(suppl):S147-S149.
Sjaastad O: The headache of challenge in our time: cervicogenic headache. Funct Neurol 1990, 5:155–158.
Bovim G: Cervicogenic headache, migraine, and tension-type headache: pressure-pain threshold measurements. Pain 1992, 51:169–173.
Jaeger B: Are “cervicogenic” headaches due to myofascial pain and cervical spine dysfunction? Cephalgia 1989, 9:157–164.
Sjaastad O, Fredriksen T, Pfaffenrath V: Cervicogenic headache: diagnostic criteria. Headache 1990, 30:725–726.
Vanagaite VJ, Stovner LJ: Photophobia and phonophobia in tension-type cervicogenic headache. Cephalgia 1998, 18:313–318.
Pollmann W, Keidel M, Pfaffenrath S: Headache and the cervical spine: a critical review. Cephalgia 1997, 17:801–816. Excellent review of cervicogenic headache.
Bovim G, Sjaastad O: Cervicogenic headache: responses to nitroglycerin, oxygen, ergotamine and morphine. Headache 1993, 33:249–252.
Nilsson N: The prevalence of cervicogenic headache in a random population sample of 20–59 year olds. Spine 1995, 20:1884–1888.
Pfaffenrath V, Kaube H: Diagnostics of cervicogenic headache. Funct Neurol 1990, 5:159–164.
Sjaastad O, Fredriksen A, Pfaffenrath V: Cervicogenic headache: diagnostic criteria. Headache 1998, 38:442–445. Outlines cervicogenic headache diagnostic criteria.
Blau J, MacGregor E: Migraine and the neck. Headache 1994, 24:88–90.
Vernon H, Steiman I, Hagino C: Cervicogenic dysfunction in muscle contraction headache and migraine: a descriptive study. J Manipulative Physiol Ther 1992, 15:418–429.
Burg HE: Chronic recurrent headache and regional myofascial pain: the common denominator. Presented at the 10th Annual meeting of the American Pain Society. New Orleans: November 7–10, 1991.
Leone M, D’Amico D, Grazzi L, et al.: Cervicogenic headache: a critical review of the current diagnostic criteria. Pain 1998, 78:1–5. Excellent review of cervicogenic headache.
Fishbain D, Cutler R, Cole B, et al.: International Headache Society headache diagnostic patterns in pain facility patients. Clin J Pain 2001, 17:78–93. Original study in which Fishbain et al. attempted to characterize the headaches typically seen in patients with chronic pain.
Headache Classification Committee of International Headache Society: Classification and diagnostic criteria for headache disorders, cranial neuralgia, and facial pain. Cephalgia 1988, 8:1–96.
Solomon S: Diagnosis of primary headache disorders: validity of the International Headache Society criteria in clinical practice. Neurol Clin 1997, 15:15–26.
Bogduk N, Corrigan B, Kelly P, et al.: Cervical headache. Med J Aust 1985, 143:202, 206–207.
Persson L, Carlsson J: Headache in patients with neckshoulder-arm pain of cervical radicular origin. Headache 1999, 39:218–224.
Leone M, D’Amico, Moschiano F, et al.: Possible identification of cervicogenic headache among patients with migraine: an analysis of 374 headaches. Headache 1995, 12:461–464.
Fishbain DA: Cervicogenic headache. Cephalgia 2002, 22:829–830.
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Fishbain, D.A., Lewis, J., Cole, B. et al. Do the proposed cervicogenic headache diagnostic criteria demonstrate specificity in terms of separating cervicogenic headache from migraine?. Current Science Inc 7, 387–394 (2003). https://doi.org/10.1007/s11916-003-0039-8
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DOI: https://doi.org/10.1007/s11916-003-0039-8