Cervicogenic headache is a group of syndromes caused by organic or functional lesions of the cervical spine and/or soft tissues of the neck, with chronic head pain as the main clinical manifestation. Wang Yunxia, Department of Pain, The Third People’s Hospital of Hubei Province
The nature of the pain is an involved pain, dull or aching pain in the occipital, top, temporal, frontal, orbital regions of the head or both of these regions. The headache is accompanied by pain in the upper neck, stiffness in the neck, or pain and limited movement in the upper neck when moving.
Anatomically, three nerves on the cervical spine innervate the posterior head sensation, and a series of sympathetic ganglia arranged in front of the neck manage the vascular function of the head, face, arms and chest, so cervicogenic headache is very easy to occur, and cervical paravertebral nerve block can receive good results, and cervical disc decompression can achieve unexpected results if necessary.
Mr. Wang, 45 years old, had a long-standing headache, and the pain at the top of his forehead was pulsating like blowing pain every time he had an attack, and he often relied on pain relief, which was unbearable. This time, he was admitted to our department, and we gave him radiofrequency targeted thermal coagulation of the cervical disc, and the headache was immediately relieved.