Abstract | OBJECTIVE: This case report discusses the treatment of 2 patients with cervicogenic headache (CHA) attending the Outpatient Clinic of the Hungarian National Institute for Rheumatology and Physiotherapy (Budapest, Hungary) and reviews the pathophysiology, therapeutic strategy, and problems associated with the treatment of CHA. CLINICAL FEATURES: Patient 1 was a 27-year-old female who sustained a whiplash injury. A sharp, shooting headache developed, readily induced, and aggravated by just bending the neck backward or by turning her head. Magnetic resonance imaging revealed a disk protrusion at C4-C5 pressing the anterior cerebrospinal space. Patient 2 was a 62-year-old female who sustained a whiplash injury; her cervical movements became restricted, which precipitated headaches. Magnetic resonance imaging revealed a paramedian disk hernia between the C4 and C5 vertebrae that intruded into the right ventral cerebrospinal space. INTERVENTION AND OUTCOME: CONCLUSION:
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Authors | Gábor Ormos, J N Mehrishi, Tibor Bakács |
Journal | Journal of manipulative and physiological therapeutics
(J Manipulative Physiol Ther)
Vol. 32
Issue 7
Pg. 586-91
(Sep 2009)
ISSN: 1532-6586 [Electronic] United States |
PMID | 19748410
(Publication Type: Case Reports, Journal Article, Review)
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Chemical References |
- Biomarkers
- Tumor Necrosis Factor-alpha
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Topics |
- Adult
- Biomarkers
(blood)
- Cervical Vertebrae
(injuries, pathology)
- Female
- Follow-Up Studies
- Humans
- Injury Severity Score
- Intervertebral Disc Displacement
(blood, etiology, rehabilitation)
- Magnetic Resonance Imaging
- Manipulation, Spinal
(methods)
- Middle Aged
- Pain Measurement
- Post-Traumatic Headache
(blood, etiology, rehabilitation)
- Range of Motion, Articular
(physiology)
- Recovery of Function
- Risk Assessment
- Treatment Outcome
- Tumor Necrosis Factor-alpha
(blood)
- Whiplash Injuries
(blood, complications)
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