Hülse M, Seifert K
Abteilung Phoniatrie, Pädaudiologie, Neurootologie, Hals-Nasen-Ohren-Klinik der Universität Heidelberg, Klinikum Mannheim.
HNO. 2005 Sep;53(9):804-9. doi: 10.1007/s00106-005-1247-9.
It is discussed controversially whether cervicogenic pain in the head and/or neck is a pathogenic entity. The good results obtained with manual therapy in patients with head and neck pain contradict the refusal of the majority of the neurologists to accept the diagnosis "cervicogenic headache." Complaints about headache are frequently encountered in the general ENT clinic. In many cases, the diagnosis of the different types of headaches can be based on the anamnesis. It is difficult to define a tension headache, because it is not a sharply defined syndrome and the disturbance of the neck represents only one of many factors. The versatile picture of the cervicogenic headache is caused by the complex neural connections in the region of the upper cervical spine. The differential diagnosis of the cervicogenic headache is described.
头部和/或颈部的颈源性疼痛是否为一种致病实体存在争议。手法治疗对头颈部疼痛患者取得的良好效果与大多数神经科医生拒绝接受“颈源性头痛”这一诊断相矛盾。在普通耳鼻喉科门诊经常会遇到头痛的主诉。在许多情况下,不同类型头痛的诊断可以基于病史。紧张性头痛难以定义,因为它不是一个界限分明的综合征,颈部紊乱只是众多因素之一。颈源性头痛的多样表现是由上颈椎区域复杂的神经连接所致。文中描述了颈源性头痛的鉴别诊断。