Bogduk Nikolai
University of Newcastle, Department of Clinical Research, Royal Newcastle Hospital, Newcastle, NSW 2300, Australia.
Neurol Clin. 2004 Feb;22(1):151-71, vii. doi: 10.1016/S0733-8619(03)00100-2.
Referred pain from disorders of the cervical spine can be perceived as headache. The mechanism is convergence between trigeminal afferents and afferents of the upper three cervical nerves in the trigeminocervical nucleus. Cervicogenic headache cannot be diagnosed on clinical grounds alone. The definitive criterion is complete relief of pain after controlled diagnostic blocks of cervical structures or their nerve supply. The most rigorously studied example of cervicogenic headache is third occipital headache.
来自颈椎疾病的牵涉痛可被感知为头痛。其机制是三叉神经传入纤维与三叉颈核中上三个颈神经的传入纤维之间的汇聚。颈源性头痛不能仅凭临床依据进行诊断。明确的标准是在对颈椎结构或其神经供应进行控制性诊断性阻滞术后疼痛完全缓解。颈源性头痛研究最为深入的例子是第三枕神经痛。