Blau J N, MacGregor E A
City of London Migraine Clinic, UK.
Headache. 1994 Feb;34(2):88-90. doi: 10.1111/j.1526-4610.1994.hed3402088.x.
Fifty patients with migraine were asked about the occurrence of neck symptoms during different phases of their attacks, and if they felt the neck could act as a precipitant. Of the 32 reporting neck pain or stiffness, 10 noted symptoms during the premonitory phase, 30 during the headache phase, and 10 postdromally. In 7 cases the pain radiated into the shoulder and in 1 case into the lumbar region. These findings indicate extracerebral involvement of the migraine process and an overlap between the trigeminal and cervical distribution.