Journal Title
Title of Journal: Curr Pain Headache Rep
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Abbravation: Current Pain and Headache Reports
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Publisher
Current Science Inc.
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Authors: Maurice B Vincent
Publish Date: 2010/04/29
Volume: 14, Issue: 3, Pages: 238-243
Abstract
Cervicogenic headache CEH is a wellrecognized syndrome Proposed diagnostic criteria differentiate CEH from migraine and tensiontype headache TTH in most of the cases The best differentiating factors include sidelocked unilateral pain irradiating from the back and evidence of neck involvement—attacks may be precipitated by digital pressure over trigger spots in the cervical/nuchal areas or sustained awkward neck positions Migrainous traits may be present in some cases Cervical lesions are not necessarily seen and most common cervical lesions do not produce CEH Whiplash may occasionally induce headaches This is suspected when the pain onset and the whiplash trauma are close in time Whiplashrelated headaches tend to be shortlasting admitting mostly a TTH or a CEHlike phenotype Neuroimaging abnormalities are not necessarily expected in CEH Whiplash patients must undergo cervical imaging mostly in connection with the trauma as no abnormalities are pathognomonic in chronic cases
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