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Prevalence of cervicogenic headache: Vågå study of headache epidemiology
O. Sjaastad 1,2 , L. S. Bakketeig 3
  1 Department of Neurology, St. Olavs Hospital, Trondheim University Hospitals (NTNU), Trondheim, Norway ;   2 Vågå Communal Health Centre, Vågåmo, Norway ;   3 Norwegian Institute of Public Health, N-0403 Oslo, Norway
Correspondence to Ottar Sjaastad, Gautes gate 12, N-7030 Trondheim, Norway
Tel.: + 47 73 52 52 76
Fax: + 47 72 57 57 74
e-mail: eylert.brodtkorb@ntnu.no
Copyright Journal compilation © 2008 Blackwell Munksgaard
KEYWORDS
cervicogenic headache • headache prevalence • neck • persistent neck ache with transient, posterior headache
Sjaastad O, Bakketeig LS. Prevalence of cervicogenic headache: Vågå study of headache epidemiology.
Acta Neurol Scand: DOI: 10.1111/j.1600-0404.2007.00962.x.
© 2007 The Authors Journal compilation © 2007 Blackwell Munksgaard.

ABSTRACT

Objectives – To describe the prevalence and various clinical characteristics of cervicogenic headache (CEH) in the population at large.

Methods – CEH was searched for in Vågå, Norway, where 1838 18 to 65-year-old citizens, i.e. 88.6% of this age group, underwent an interview/clinical examination. The Cervicogenic Headache International Study Group criteria include: (I) unilaterality of head pain, (II) reduction, range of movement, neck, (III/IV) ipsilateral shoulder/arm discomfort, (V/VI) mechanical provocation of similar pain, objectively or subjectively.

Results – A prevalence of 4.1% was found. In 41 cases with the highest number of CEH criteria ('core' cases), there was a male preponderance (F/M: 0.71). While cervicogenic traits (mechanical precipitation etc.) were frequently present in CEH, 'migraine traits', like nausea, vomiting, and throbbing seemed to be rarely present. In 97% of the cases, pain exacerbations began in the neck/occipital region.

Conclusions – CEH may be one of the three large, recurrent headaches. In this series, there was no female preponderance. Nuchal onset of pain is a characteristic trait.


Accepted for publication October 10, 2007

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1600-0404.2007.00962.x About DOI

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