Mondino National Institute of Neurology Foundation, Dept. of Brain and Behavioral Sciences University of Pavia, Pavia, Italy.
Ministry of Health Ankara Research and Training Hospital Neurology and Algology Department, Ankara, Turkey.
Cephalalgia. 2021 Apr;41(4):438-442. doi: 10.1177/0333102420944878. Epub 2020 Jul 29.
Cervicogenic headache (CEH) is currently identified with different diagnostic criteria. The latest one is the International classification of headache disorders (ICHD), 3rd edition (2018). At the present time, there are not enough published articles with reliable sensitivity and specificity that may support a classification for clinical and research purposes. Current literature suggests improvement to the classification(s). The ICHD criteria should be modified to reach an optimal sensitive and specific level to identify CEH as a secondary headache. The B, C1, and C2 criteria should be implemented with proposed suggestions. The C3 criterion should be upgraded. Criteria such as mechanical precipitation of pain by digital pressure on neck trigger points and specific movements, strictly unilateral pain without side-shift, diffuse unilateral shoulder and arm pain, pain starting posteriorly and spreading anteriorly should be integral part of the classification.
颈源性头痛（CEH）目前采用不同的诊断标准。最新的标准是国际头痛疾病分类（ICHD），第 3 版（2018 年）。目前，还没有足够多的发表文章具有可靠的灵敏度和特异性，可能支持用于临床和研究目的的分类。目前的文献表明需要对分类进行改进。ICHD 标准应进行修改，以达到最佳的敏感和特异性水平，将 CEH 作为一种继发性头痛进行识别。应实施 B、C1 和 C2 标准，并提出建议。C3 标准应升级。应将疼痛由颈部触发点的数字压力机械诱发和特定运动、严格单侧疼痛无侧移、单侧肩部和手臂疼痛弥散、疼痛从后部开始向前部扩散等标准作为分类的一个组成部分。
