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https://www.readbyqxmd.com/read/28662932/dynamic-in-vivo-3d-atlantoaxial-spine-kinematics-during-upright-rotation
#1
William Anderst, Bryan Rynearson, Tyler West, William Donaldson, Joon Lee
Diagnosing dysfunctional atlantoaxial motion is challenging given limitations of current diagnostic imaging techniques. Three-dimensional imaging during upright functional motion may be useful in identifying dynamic instability not apparent on static imaging. Abnormal atlantoaxial motion has been linked to numerous pathologies including whiplash, cervicogenic headaches, C2 fractures, and rheumatoid arthritis. However, normal C1/C2 rotational kinematics under dynamic physiologic loading have not been previously reported owing to imaging difficulties...
June 20, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28644963/self-report-and-subjective-history-in-the-diagnosis-of-painful-neck-conditions-a-systematic-review-of-diagnostic-accuracy-studies
#2
REVIEW
Adam Mizer, Alexa Bachmann, Jessie Gibson, Megan Burrowbridge Donaldson
Rising healthcare costs and inherent risks with over-utilizing diagnostic imaging require a quality subjective examination to improve effectiveness and time management of physical examinations. This systematic review investigates the diagnostic accuracy of subjective history and self-report items to determine if there is significant alteration in the probability of identifying specific painful neck conditions. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. INCLUSION CRITERIA: 1) Written in the English language 2) Cervical pain with/without referred upper extremity or head pain 3) Subjective history or self-report items 4) Study designs that reported diagnostic statistics or allowed calculation of sensitivities, specificities, diagnostic odds ratios, and likelihood ratios 5) used a reference standard that has a sensitivity or specificity ≥75% or a diagnostic tool that is strongly supported in the literature where this data is not available...
June 8, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28603362/comparison-of-muscular-fatigue-and-tone-of-neck-according-to-craniocervical-flexion-exercise-and-suboccipital-relaxation-in-cervicogenic-headache-patients
#3
Dae Jung Yang, Da Haeng Kang
[Purpose] This study was conducted to compare and analyze influence of craniocervical flexion and suboccipitalis relaxation in cervicogenic headache patients of their cervical muscular fatigue, tone, and headache intensity. [Subjects and Methods] 30 patients with cervicogenic headache were selected and 10 subjects per group were randomly assigned to control group, craniocervical flexion exercise group, and suboccipitalis relaxation group. Intervention for each group was provided 5 times a week for 4 weeks. Muscular tone test and muscular fatigue test were conducted on both sides of upper trapezius and sternocleidomastoideus and visual analogue sclae on the headache intensity was conducted before the intervention, after 2 weeks, and after 4 weeks...
May 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28581034/the-clinical-features-risk-factors-and-surgical-treatment-of-cervicogenic-headache-in-patients-with-cervical-spine-disorders-requiring-surgery
#4
Keiko Shimohata, Kazuhiro Hasegawa, Osamu Onodera, Masatoyo Nishizawa, Takayoshi Shimohata
OBJECTIVE: To clarify the clinical features and risk factors of cervicogenic headache (CEH; as diagnosed according to the International Classification of Headache Disorders-Third Edition beta) in patients with cervical spine disorders requiring surgery. BACKGROUND: CEH is caused by cervical spine disorders. The pathogenic mechanism of CEH is hypothesized to involve a convergence of the upper cervical afferents from the C1, C2, and C3 spinal nerves and the trigeminal afferents in the trigeminocervical nucleus of the upper cervical cord...
June 5, 2017: Headache
https://www.readbyqxmd.com/read/28550817/atypical-presentation-and-outcome-of-cervicogenic-headache-in-patients-with-cervical-degenerative-disease-a-single-center-experience
#5
Shyamal C Bir, Anil Nanda, Devi Prasad Patra, Tanmoy Kumar Maiti, Cesar Liendo, Alireza Minagar, Oleg Y Chernyshev
OBJECTIVE: Cervicogenic headache affects a significant portion of the entire population. This type of headache especially with atypical presentation is often hard to diagnose and manage since its etiopathophysiology is not been yet well understood. We have investigated the prevalence of cervicogenic headache with atypical presentation and discussed the etiology of it, and the outcome of surgical intervention on this type of headache in patients with cervical degenerative disease. PATIENTS AND METHODS: Radiological and clinical data of 160 patients (from 2001 through 2016) were retrospectively reviewed...
May 13, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28440672/definitions-and-participant-characteristics-of-frequent-recurrent-headache-types-in-clinical-trials-a-systematic-review
#6
Maria-Eliza R Aguila, Trudy Rebbeck, Kristofferson G Mendoza, Mary-Grace L De La Peña, Andrew M Leaver
Background Clear definitions of study populations in clinical trials may facilitate application of evidence to clinical populations. This review aimed to explore definitions of study populations in clinical trials on migraine, tension-type headache, cluster headache, and cervicogenic headache. Methods We performed a systematic review of clinical trials investigating treatment efficacy for migraine, tension-type headache, cluster headache, and cervicogenic headache. We extracted data on diagnosis, inclusion criteria and baseline headache characteristics...
January 1, 2017: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/28427978/prevalence-of-ponticulus-posticus-on-lateral-cephalometric-radiographs-its-association-with-cervicogenic-headache-and-a-review-of-literature
#7
Shahnaz S Tambawala, Freny R Karjodkar, Kaustubh Sansare, Digvijay Motghare, Isha Mishra, Shuddhodhan Gaikwad, Amaresh Chandra Dora
OBJECTIVES: The aim of this study was to calculate the prevalence of ponticulus posticus (a small bony bridge on the dorsal aspect of the atlas on lateral digital cephalometric radiographs) and classify it into a complete ring or an incomplete ring. The study also investigated its association with the presence or absence of cervicogenic headache in the examined population; a literature review of ponticulus posticus is also presented. METHODS: The presence and types of ponticuli posticus were investigated on 500 digital lateral cephalograms and the same patients were questioned for a history of cervicogenic headache...
July 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28347935/clinical-characteristics-and-outcomes-of-treatment-of-the-cervical-spine-in-patients-with-persistent-post-concussion-symptoms-a-retrospective-analysis
#8
Ewan Kennedy, Dusty Quinn, Steve Tumilty, Cathy M Chapple
BACKGROUND: Concussion is typically defined as a mild brain injury, and yet the brain is unlikely to be the only source of persistent post-concussion symptoms. Concurrent injury to the cervical spine in particular is acknowledged as a potential source of common persistent symptoms such as headache, dizziness and neck pain. OBJECTIVES: To describe the cervical spine findings and outcomes of treatment in a series of patients with persistent post-concussion symptoms, and describe the clinical characteristics of a cervicogenic component when it is present...
June 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28326321/ultrasound-guided-versus-fluoroscopy-guided-deep-cervical-plexus-block-for-the-treatment-of-cervicogenic-headache
#9
RANDOMIZED CONTROLLED TRIAL
Qing Wan, Haiyun Yang, Xiao Li, Caina Lin, Songjian Ke, Shaoling Wu, Chao Ma
Objective. The aim of this study was to compare the efficacy of ultrasound-guided deep cervical plexus block with fluoroscopy-guided deep cervical plexus block for patients with cervicogenic headache (CeH). Methods. A total of 56 patients with CeH were recruited and randomly assigned to either the ultrasound-guided (US) or the fluoroscopy-guided (FL) injection group. A mixture of 2-4 mL 1% lidocaine and 7 mg betamethasone was injected along C2 and/or C3 transverse process. The measurement of pain was evaluated by patients' ratings of a 10-point numerical pain scale (NPS) before and 2 wks, 12 wks, and 24 wks after treatments...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28281110/headache-in-neuromyelitis-optica
#10
REVIEW
Alina Masters-Israilov, Matthew S Robbins
PURPOSE OF REVIEW: Neuromyelitis optica (NMO) classically features a clinical presentation that includes longitudinally extensive transverse myelitis and optic neuritis. However, many other pathognomonic phenomena have more recently been described in patients diagnosed with NMO, including intractable hiccups, vomiting, and painful tonic spasms, but less has been reported regarding the relationship between NMO and headache. Though headache is well established as both a symptom and comorbidity of multiple sclerosis (MS), it has been much less described thus far in the NMO literature and warrants more careful evaluation...
April 2017: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/28265168/analysis-of-mechanical-properties-of-cervical-muscles-in-patients-with-cervicogenic-headache
#11
REVIEW
Seung Kyu Park, Dae Jung Yang, Je Ho Kim, Jae Won Heo, Yo Han Uhm, Jong Hyuk Yoon
[Purpose] This study aimed to compare and analyze the mechanical properties of the upper cervical muscles in patients with cervicogenic headache to identify efficient methods of treatment and diagnosis. [Subjects and Methods] A total of 40 subjects including 20 healthy individuals and 20 patients with cervicogenic headache were selected. A MyotonPRO device was used to measure the tone (Hz), stiffness (N/m), and elasticity (log decrement) of the suboccipital muscles and upper trapezius of the subjects. [Results] There was no significant difference between the 2 groups in the elasticity of the suboccipital muscles and upper trapezius...
February 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28259769/structural-changes-of-the-cervical-muscles-in-elder-women-with-cervicogenic-headache
#12
Sureeporn Uthaikhup, Jenjira Assapun, Suchart Kothan, Kanokwan Watcharasaksilp, James M Elliott
BACKGROUND: Evidence suggests that cervicogenic headache is associated with increasing age. Cervical musculoskeletal impairments are common features in individuals with cervicogenic headache. There is some suggestion that the structure (size and fatty infiltration) of neck muscle may factor in or contribute to these impairments. OBJECTIVE: To investigate relative cross sectional areas (rCSAs) and fatty infiltrate in the cervical muscles in elders with cervicogenic headache compared to controls...
June 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28176603/can-axial-pain-be-helpful-to-determine-surgical-level-in-the-multilevel-cervical-radiculopathy
#13
Bo-Kyung Suh, Ki Han You, Moon Soo Park
Spine surgeons are required to differentiate symptomatic cervical disc herniation with asymptomatic radiographic herniation. Although the dermatomal sensory dysfunction of upper extremity is the most important clue, axial pain including cervicogenic headache and parascapular pain may be helpful to find surgical target level. However, there is no review article about the axial pain originated from cervical spondylotic radiculopathy and relieved by surgical decompression. The purpose is to review the literatures about the axial pain, which can be utilized in determining target level to be decompressed in the patients with cervical radiculopathy at multiple levels...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28149652/bilateral-intra-articular-radiofrequency-ablation-for-cervicogenic-headache
#14
Charles A Odonkor, Teresa Tang, David Taftian, Akhil Chhatre
Introduction. Cervicogenic headache is characterized by unilateral neck or face pain referred from various structures such as the cervical joints and intervertebral disks. A recent study of patients with cervical pain showed significant pain relief after cervical medial branch neurotomy but excluded patients with C1-2 joint pain. It remains unclear whether targeting this joint has potential for symptomatic relief. To address this issue, we present a case report of C1-2 joint ablation with positive outcomes...
2017: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/28118424/localized-pain-hypersensitivity-in-older-women-with-cervicogenic-headache-a-quantitative-sensory-testing-study
#15
Jenjira Assapun, Sureeporn Uthaikhup
AIMS: To investigate pain sensitivity by using quantitative sensory testing in older women with and without cervicogenic headache. METHODS: A total of 18 older women (mean age ± standard deviation [SD] 64.28 ± 3.21 years) with cervicogenic headache and 17 healthy controls (65.18 ± 3.89 years) participated in the study. Pain thresholds (pressure, heat, and cold) and suprathreshold heat pain ratings (at 45° C, 47°C, and 49°C) were measured over the temporalis muscle, upper cervical spine, and tibialis anterior muscle...
January 2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/28094022/a-case-report-of-an-adolescent-with-cluster-headaches-following-neck-trauma-coincidence-or-trigger
#16
Agnieszka Biedroń, Marek Kaciński, Małgorzata Steczkowska, Anna Świerczyńska
Posttraumatic headaches usually have tension-type or migraine-like characteristics. A correlation between head trauma and cluster headaches (CH) has been previously reported. CH in children are rare and require thorough differential diagnosis. We present an original case of a 15-year-old boy with cluster headaches associated with allodynia probably evoked by a neck trauma. Severe headache attacks started one month after neck trauma. At the beginning clinical presentation of our patient's headaches was very misleading...
March 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/28090192/spinal-rehabilitative-exercise-or-manual-treatment-for-the-prevention-of-cervicogenic-headache-in-adults
#17
Mitchell Haas, Gert Brønfort, Roni L Evans, Brent Leininger, John Schmitt, Morris Levin, Kristine Westrom, Charles H Goldsmith
This is the protocol for a review and there is no abstract. The objectives are as follows: To quantify and compare the short- and long-term effects of manual treatment and spinal rehabilitative exercise for cervicogenic headache, classified according to the International Headache Society's (IHS) diagnostic criteria, with an active or placebo/sham comparison or wait-list control.
May 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28055091/spinal-manipulation-and-mobilization-therapy-for-cervicogenic-headache
#18
Michael A Seffinger, Melissa Yunting Tang
No abstract text is available yet for this article.
January 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/27910088/the-efficacy-of-greater-occipital-nerve-blockade-in-chronic-migraine-a-placebo-controlled-study
#19
H L Gul, A O Ozon, O Karadas, G Koc, L E Inan
OBJECTIVE: GON blockade with local anesthetics is an effective treatment for a group of headaches, such as cervicogenic headache, cluster headache, occipital neuralgia, migraine. Our aim was to evaluate the efficacy of greater occipital nerve (GON) blockade in patients with chronic migraine (CM) by using a control group. MATERIALS AND METHODS: We included 44 CM patients and randomly divide the patients into two groups, as group A (bupivacaine) and group B (placebo) to our study...
December 2, 2016: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/27848263/joint-arthropathy-at-the-cranio-vertebral-junction-scintigraphic-patterns-on-bone-spect-ct
#20
Vittorio M Russo, Anneli Duits, Ranju T Dhawan, Adrian T H Casey
Osteoarthritic degeneration at the cranio-vertebral junction (CVJ) is an underrecognized source of suboccipital and neck pain, limited range of motion and cervicogenic headaches. Correlation of radiographic findings with clinical symptoms is often difficult. Limited evidence currently exists to support the use of bone single-photon emission computed tomography/computed tomography (SPECT/CT) in this subgroup of patients. The aim of this study was to describe the scintigraphic patterns of joint arthropathy at the CVJ on bone SPECT/CT in patients with suboccipital/neck pain and cervicogenic headache...
February 2017: British Journal of Neurosurgery
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