Solomon S, Lipton R B, Newman L C
Department of Neurology, Montefiore Medical Center, New York, New York 10467.
Headache. 1990 May;30(6):347-9. doi: 10.1111/j.1526-4610.1990.hed3006347.x.
Nuchal symptoms were found in the majority of 100 consecutive patients with cluster headache. In 10%, pain was experienced in the neck with the initial typical orbitotemporal pain; in 37%, pain radiated from the orbit or temple to the ipsilateral side of the neck. Sometimes, neck pain heralded the onset of the attack by a few minutes. During an attack, neck stiffness was reported in 40% and tenderness in 29%. Movement of the neck, especially flexion, precipitated cluster headache in 9% of patients. This was particularly true of patients with chronic cluster headache. Neck movement aggravated the headache in 16 of 100 patients and an equal number reported amelioration of pain by neck movement, especially extension. The nuchal features did not necessarily accompany every attack and were usually overshadowed by the severity of the typical headache. Nevertheless, symptoms referable to the neck occur more commonly than is generally appreciated.
在连续100例丛集性头痛患者中，大多数患者存在颈部症状。10%的患者在最初出现典型眶颞部疼痛时伴有颈部疼痛；37%的患者疼痛从眼眶或颞部放射至同侧颈部。有时，颈部疼痛会在发作前几分钟出现。发作期间，40%的患者报告有颈部僵硬，29%的患者有压痛。颈部活动，尤其是屈曲，会使9%的患者诱发丛集性头痛。慢性丛集性头痛患者尤其如此。100例患者中有16例颈部活动会加重头痛，同样数量的患者报告颈部活动，尤其是伸展，可使疼痛缓解。颈部特征并非每次发作都必然出现，通常会被典型头痛的严重程度所掩盖。然而，颈部相关症状的出现比一般认为的更为常见。
