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Headache and neck.
Cephalalgia ( IF 4.9 ) Pub Date : 2020-07-29 , DOI: 10.1177/0333102420944878
Fabio Antonaci 1 , Levent Ertuğrul Inan 2
Affiliation  

Cervicogenic headache (CEH) is currently identified with different diagnostic criteria. The latest one is the International classification of headache disorders (ICHD), 3rd edition (2018). At the present time, there are not enough published articles with reliable sensitivity and specificity that may support a classification for clinical and research purposes. Current literature suggests improvement to the classification(s). The ICHD criteria should be modified to reach an optimal sensitive and specific level to identify CEH as a secondary headache. The B, C1, and C2 criteria should be implemented with proposed suggestions. The C3 criterion should be upgraded. Criteria such as mechanical precipitation of pain by digital pressure on neck trigger points and specific movements, strictly unilateral pain without side-shift, diffuse unilateral shoulder and arm pain, pain starting posteriorly and spreading anteriorly should be integral part of the classification.



中文翻译:

头痛和颈部。

目前,颈源性头痛 (CEH) 有不同的诊断标准。最新版本是国际头痛疾病分类 (ICHD),第 3 版(2018 年)。目前,没有足够的具有可靠敏感性和特异性的已发表文章可以支持临床和研究目的的分类。当前的文献建议改进分类。应修改 ICHD 标准以达到最佳敏感度和特异性水平,以将 CEH 识别为继发性头痛。B、C1 和 C2 标准应与提议的建议一起实施。C3标准应该升级。标准,例如通过数字压力对颈部触发点和特定运动的机械性疼痛沉淀,严格的单侧疼痛,无侧移,

更新日期:2020-07-30
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