Innlandet Hospital, Norway.
Cephalalgia. 2010 Dec;30(12):1468-76. doi: 10.1177/0333102410368442. Epub 2010 May 19.
The objective was to study the prevalence of cervicogenic headache (CEH) in the general population.
An age- and gender-stratified random sample of 30,000 persons aged 30-44 years received a mailed questionnaire. Those with self-reported chronic headache were interviewed by neurological residents. The criteria of the Cervicogenic Headache International Study Group and the International Classification of Headache Disorders, second edition, were applied.
The questionnaire response rate was 71% and the participation rate of the interview was 74%. The prevalence of CEH was 0.17% in the general population, with a female preponderance. Fifty per cent had co-occurrence of medication overuse and 42% had co-occurrence of migraine. The pericranial muscle tenderness score was significantly higher on the pain than non-pain side (p < .005). The cervical range of motion was significantly reduced compared to healthy controls (p < .005). The mean duration of CEH was eight years. Based on patients' self-reports, greater occipital nerve (GON) blockage and cryotherapy was reported effective in 90% of those who had this procedure, while other treatment alternatives were reported less effective.
研究普通人群中颈源性头痛（CEH）的患病率。
对 30000 名年龄在 30-44 岁的年龄和性别分层的随机人群进行了邮寄问卷调查。那些报告有慢性头痛的人由神经科住院医师进行了访谈。应用颈源性头痛国际研究组和国际头痛疾病分类，第二版的标准。
问卷的回复率为 71%，访谈的参与率为 74%。CEH 在普通人群中的患病率为 0.17%，女性患病率较高。50%的患者同时存在药物过度使用，42%的患者同时存在偏头痛。疼痛侧的颅周肌肉压痛评分显著高于非疼痛侧（p<0.005）。与健康对照组相比，颈椎活动范围明显减小（p<0.005）。CEH 的平均持续时间为 8 年。根据患者的自我报告，90%接受过大圆肌神经阻滞和冷冻疗法的患者报告称该治疗有效，而其他治疗选择的效果则较差。
