Drottning Monica
University of Oslo, Department of Neurosurgery, Ullevaal University Hospital, 0407 Oslo, Norway.
Curr Pain Headache Rep. 2003 Oct;7(5):384-6. doi: 10.1007/s11916-003-0038-9.
Cervicogenic headache (CEH) with pain radiating from the neck to the forehead is a common finding after whiplash injury. In most whiplash studies, the whiplash headaches are not defined. Post-whiplash CEH typically is a moderate headache with a benign, but often prolonged course. It probably is unilateral and bilateral. Reduced neck mobility does not seem to be as common after whiplash as in chronic CEH in general. Post-whiplash CEH is accompanied by great disability and high use of medication. Although the natural course seems favorable for unilateral CEH during the first postinjury years, some patients will need specific treatment for their headaches. There is a lack of controlled studies to guide practitioners to choose investigations and treatment for chronic CEH.
颈源性头痛（CEH），疼痛从颈部放射至前额，是挥鞭样损伤后常见的表现。在大多数挥鞭样损伤研究中，未对挥鞭样损伤性头痛进行定义。挥鞭样损伤后颈源性头痛通常为中度头痛，病程良性但往往迁延。它可能是单侧或双侧的。与一般慢性颈源性头痛相比，挥鞭样损伤后颈部活动度降低似乎没那么常见。挥鞭样损伤后颈源性头痛伴有严重残疾且药物使用率高。虽然在损伤后的最初几年，单侧颈源性头痛的自然病程似乎较好，但一些患者仍需要针对头痛进行特殊治疗。目前缺乏对照研究来指导医生对慢性颈源性头痛进行检查和治疗的选择。
