headache

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Related to cervicogenic headache: Occipital neuralgia

headache

pain in the head, caused by dilation of cerebral arteries, muscle contraction, insufficient oxygen in the cerebral blood, reaction to drugs, etc.

Headache

 

one of the most frequent symptoms of various diseases.

Headache arises chiefly in response to irritation of the nerve endings (receptors) of the meninges, venous sinuses, and tunicary and cerebral vessels. Leading factors in the development of a headache include inflammatory affection of the meninges (resulting in irritation of the meningovascular receptors by toxins of the pathogenic agent), compression of the receptors by edema in brain tumors and other accumulative processes (for example, abscess, tuberculoma, and cys-ticercosis), impairment of the circulation of the cerebrospinal fluid accompanied by an elevation in intracranial pressure, vascular diseases (hypertension, hypotension, migraine) that cause a change in extracranial and intracranial vascular tone, chronic cardiovascular insufficiency (for example, congestion of the cerebral veins), and infectious diseases and intoxication accompanied by toxic irritation of the nerve endings. Headache also arises through affection of the cervical nerve roots of the spinal cord and affection of the perivascular neuroplexuses of the major blood vessels of the head (for example, in cervical migraine).

Localization of the headache and determination of its character, time of appearance, and other features are important in discovering its causes. Its course and accompanying signs should also be taken into account. Neurological examination and examination of the internal organs, eyes (vision, fundus oculi, intraocular pressure), ears, paranasal sinuses, endocrine glands, and cerebrospinal fluid are also necessary. In a number of cases physicians also make use of cranial roentgenography, electroencephalography, angioenceph-alography or pneumoencephalography, and rheoenceph-alography.

Treatment includes elimination of the cause of the headache and the prescription of preparations (vasodilative or vasoconstrictive, decreasing intracranial pressure [dehydrating], and analgetic) that counteract the cause of the headache.

REFERENCES

Platonova, E. P. Golovnye boli. Moscow, 1960.
Botez, M., and R. Şerbánescu. Algille craniene şi craniofaciale: Fiziopatologie, Diagnosti, Tratament. Bucharest, 1965.
Heyck, H. Bóle gtowy. Warsaw, 1960.

V. A. KARLOV

headache

[′hed‚āk]
(medicine)
A deep form of pain, with a characteristic aching quality, localized in the head.
References in periodicals archive ?
Pro-Motion Physical Therapy is the only physical therapy clinic in the Chicagoland area with the advanced training, clinical ability and resources needed to provide this treatment approach to patients with Cervicogenic headache.
Tension-type or cervicogenic headache being associated with muscle inhibition and motor impairments is not a new concept.
Dagenais, "Cervicogenic headaches: A critical review," The Spine Journal, vol.
As discussed above, although patients with chronic neck pain could have multiple pain generators [2-5], the clinical history, physical exam, and diagnostic findings in this case report support AA joint as a source of pain cervicogenic headache. In addition, the patient responded with an 80% decrease in pain after C1-2 diagnostic blocks.
Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial.
Intracutaneous sterile water injections do not relieve pain in cervicogenic headache. Acta Neurol Scand 1992; 86: 526-528, doi: 10.1016/0140-6736 (93)90204-T., doi: 10.1111/j.1600-0404.1992.tb05137.x.
Abstract: Objectives: To determine the effect of a C1-C2 sustained natural apophyseal glide (SNAG) as compare to posterior anterior (PA) vertebral mobilization on cervicogenic headache.
Le parole chiave utilizzate sono state "cervicogenic headache" (entry term) o "cervical headache" (free term), combinate con "diagnosis" (MeSH term) o "diagnostic criteria" (free term) o "physical impairments" (free term).
The supine flexion-rotation test was validated for determining the presence of a C1-C2 rotation restriction in patients with a cervicogenic headache and has a sensitivity of 91% and specificity of 90% (p< 0.001) with an overall diagnostic accuracy of 91% (p< 0.001) (Ogince et al 2007).
However there is lack of clinical evidence supporting long-term use of opioids for chronic headaches such as migraine, chronic daily headache, medication overuse headache, or cervicogenic headache. Currently there are large amounts of opioids being prescribed for headaches because of patients' demands.