Shimohata Keiko, Shimohata Takayoshi
Department of Anesthesiology, Kameda-Daiichi Hospital.
Brain Nerve. 2020 Mar;72(3):251-258. doi: 10.11477/mf.1416201514.
Cervicogenic headache (CEH) is a lateralized non-pulsative headache syndrome caused by cervical spine disorders. The headache is initiated in the neck, which subsequently spreads to the occipital, frontal, and orbital regions, and is accompanied by ipsilateral shoulder pain. The prevalence of CEH is considered to be 15-20% among cases of chronic headache. With regard to the mechanism of CEH, convergence of upper cervical nerves and trigeminocervical complex might play an important role. However, CEH in many patients has been reported to be associated with middle to lower cervical disorders, which cannot be explained by this theory. We therefore proposed the possibility that the condition reported here is another type of CEH. The treatment of CEH requires a multidisciplinary approach, because pharmacological treatment is often ineffective. (Received August 16 2019; Accepted November 25, 2019; Published March 1, 2020).
颈源性头痛（CEH）是一种由颈椎疾病引起的单侧非搏动性头痛综合征。头痛始于颈部，随后蔓延至枕部、额部和眶周区域，并伴有同侧肩部疼痛。在慢性头痛病例中，CEH的患病率被认为是15% - 20%。关于CEH的发病机制，上颈神经与三叉颈复合体的汇聚可能起重要作用。然而，据报道，许多患者的CEH与中下颈椎疾病有关，而这一理论无法解释这种情况。因此，我们提出这里报道的这种情况可能是另一种类型的CEH。CEH的治疗需要多学科方法，因为药物治疗往往无效。（2019年8月16日收到；2019年11月25日接受；2020年3月1日发表）
