Search results for "Cervicogenic headache"

Response to letter to the editor: ‘Physical examination tests for screening and diagnosis of cervicogenic headache: A systematic review’

2016

Radiofrequency treatment of cervicogenic headache

2010

Objectives: In the clinical management of facial pain, a possible cervical origin must be considered. A clinical exploration is therefore essential. The disorder originates in the intimate connections between the cranial portion of the spinal cord and the trigeminal system. Although solid evidence supporting the use of radiofrequency (RF) treatment is lacking, it remains one of the management options to be taken into account. The present study evalu - ates the efficacy of RF in application to cervicogenic headache. Study design: We present three cases of severe facial pain arising from different cervical structures. Results: In two cases the pain originated in cervical roots C2 and C3, whil…

Postlumbar Puncture Headache Syndrome

2003

Publisher Summary This chapter presents a study on acute and chronic pain related to postlumbar puncture headache syndrome. The symptoms of the postlumbar puncture headache (PLPH) syndrome are positional, beginning in the upright posture and subsiding or improving when the patient reclines. Sometimes symptoms of PLPH occur spontaneously without a detectable dural defect. In these instances, suggested causes include a hyperactive resorption of cerebrospinal fluid (CSF) or a spontaneous mechanical dural hole. Magnetic resonance imaging (MRI) scans in patients with intracranial hypotension—either after LP or spontaneously—show meningeal enhancement, subdural effusions, and downward brain displ…

Physical Examination Tests for Screening and Diagnosis of Cervicogenic Headache: A Systematic Review

2016

It has been suggested that differential diagnosis of headaches should consist of a robust subjective ex-amination and a detailed physical examination of the cervical spine. Cervicogenic headache (CGH) is a form of headache that involves referred pain from the neck. To our knowledge, no studies have sum-marized the reliability and diagnostic accuracy of physical examination tests for CGH. The aim of this study was to summarize the reliability and diagnostic accuracy of physical examination tests used to diagnose CGH. A systematic review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed in four electronic databases (MEDLINE, Web of …

Updated management of occipital nerve stimulator lead migration: case report of a technical challenge

2021

Abstract Electrode migration is a challenge, even with adequate anchoring techniques, due to the high mechanical stress on components of occipital nerve stimulation (ONS) for headache disorders. When a lead displacement of an ONS implant is diagnosed, there are currently different approaches described for its management. Nevertheless current neuromodulation devices are designed like a continuum of components without any intermediate connector, and if a lead displacement is diagnosed, the solution is the complete removal of the electrode from its placement, and its repositioning through an ex-novo procedure. The described technique can allow ONS leads to be revised while minimizing the need …

Ten-year follow-up of health-related quality of life among persons with multiple sclerosis

2015

nervous stimulation and stretching exercises (ClinicalTrials.gov NCT01664585). Methods:Women aged 18 to 60 having chronic cervicogenic headache with intensity equal or greater than 45mm during the last two months on Visual Analog Scale (VAS) were randomized either to the treatment group “Therapeutic exercise” (THEX group) or to the control group “Transcutaneous Nervous Stimulation” (TNS group). The clinical examination of participants by physiotherapist was conducted at baseline and after intervention. Participants were asked to report each episode of headache including its intensity (VAS) and duration on a daily basis for 6months in the diary. Headache Impact Test-6 scorewas used to assess…