Sjaastad O, Bovim G
Department of Neurology, Regionsykehuset i Trondheim, Trondheim University Hospital, Norway.
Funct Neurol. 1991 Apr-Jun;6(2):93-100.
Common migraine and cervicogenic headache have many traits in common, so many that they may be mixed up. Both are unilateral headaches with a female preponderance. However, as for a number of variables, they differ. This first and foremost has to do with factors concerning the neck. In cervicogenic headache, the following symptoms and signs are present: a reduced range of motion in the neck; mechanical precipitation of attack, either by neck movements or by external pressure over the greater occipital nerve of the C2 root; ipsilateral shoulder/arm pain; unilaterality without side-shift. Similar findings are usually not made in common migraine. Typical migraine symptoms, such as nausea, vomiting, photophobia, and phonophobia also occur in cervicogenic headache, but less frequently and to a lesser degree. Operative procedures directed to occipital/nuchal structures may afford decisive differentiation between the two disorders. In our estimation, cervicogenic headache and common migraine are two distinct disorders, with their own clinical patterns, pathogenesis, treatment - and, in all probability, also prognosis.
普通偏头痛和颈源性头痛有许多共同特征，以至于它们可能会被混淆。两者均为单侧头痛，女性更为多见。然而，在一些变量方面，它们存在差异。这首先与颈部相关因素有关。在颈源性头痛中，会出现以下症状和体征：颈部活动范围减小；发作可由颈部运动或对C2神经根的枕大神经施加外部压力引发；同侧肩部/手臂疼痛；单侧性且无侧移。普通偏头痛通常不会出现类似表现。典型的偏头痛症状，如恶心、呕吐、畏光和畏声，在颈源性头痛中也会出现，但频率较低且程度较轻。针对枕部/项部结构的手术操作可能有助于明确区分这两种疾病。据我们估计，颈源性头痛和普通偏头痛是两种不同的疾病，具有各自的临床模式、发病机制、治疗方法——而且很可能还有预后。
