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Cervicogenic Headache Overview

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40 Questions

What are examples of red flag symptoms associated with thunderclap headaches?

Abrupt onset

Which condition is NOT typically associated with secondary headaches?

Giant cell arteritis

What is a common conservative medical management approach for cervicogenic headaches?

NSAIDs and muscle relaxants

Which symptom may indicate the need for surgical intervention in cervicogenic headaches?

Unresponsiveness to conservative management

What type of exercises are typically recommended in the conservative management of cervicogenic headaches?

Deep cervical and scapular stabilisers activation exercise

Which type of headache often overlaps with cervicogenic headaches?

Tension-type headache

What is a key aspect that can help in the differential diagnosis of cervicogenic headaches amongst primary headaches?

Neck pain and other clinical characteristics

What is a possible consequence of cervical artery dissection?

Vasoconstriction

Which type of headache is NOT directly associated with older age as a red flag symptom?

Cluster headache

What distinguishes the conservative medical management approach from surgical intervention in cervicogenic headaches?

Invasive nature of treatment

What is the primary characteristic of Cervicogenic headache?

Unilateral headache in frontal and occipital region

Which of the following aggravates Cervicogenic headache?

Neck movement

What percentage of chronic and/or recurrent headaches does Cervicogenic headache constitute?

15%

What is the primary cause of Cervicogenic headache based on the information provided?

Underlying neuromusculoskeletal dysfunction of the cervical spine

How does International Classification of Headache Disorders (ICHD-3) categorize Cervicogenic headache?

'Secondary headache'

In the context of headaches, what is meant by 'Secondary headaches'?

'Headaches caused by underlying disorders'

Which part of the body is NOT mentioned as a potential source of secondary headaches according to the text?

'Feet'

'Trigeminal autonomic cephalalgias' belong to which category of headaches?

'Primary headaches'

'ICF Impairment based classification system' recommends which diagnostic criteria for headache related disorders?

'ICHD-3'

'Whiplash-induced headache' falls under which category of headaches according to the text?

'Secondary headaches'

Which of the following is NOT a requirement for diagnosing a secondary headache?

The headache is not better accounted for by another ICHD-3 diagnosis.

Which of the following is NOT listed as a criterion for diagnosing cervicogenic headache?

Headache is abolished following diagnostic blockade of a cranial structure or its nerve supply.

According to the convergence-projection theory, how do cervicogenic headaches arise?

When primary afferents from the trigeminal nerve and the C1, C2, C3 cervical spinal nerves converge on the same second-order neurons in the spinal cord.

Which of the following structures is NOT mentioned in the text as a potential source of pain in cervicogenic headaches?

Cranial bones

What is the significance of the functional intersection of the C1-C3 spinal nerves and the trigeminal sensory pathways in the context of cervicogenic headaches?

It allows for the bidirectional transmission of pain signals between the neck and the sensory distribution of the trigeminal nerve.

Which of the following is NOT a feature of the anatomical basis of cervicogenic headaches according to the text?

The trigeminal nucleus has neural connections to the posterior horns of the upper thoracic spinal cord region.

Which of the following is NOT a potential source of pain in cervicogenic headaches?

Cranial bones

Which of the following is NOT a requirement for the diagnosis of a secondary headache according to the text?

The headache has significantly worsened in parallel with worsening of the presumed causative disorder.

What is the primary function of the trigeminal nucleus?

Pain and temperature function of the head and neck

Which of the following is NOT considered a potential source of pain in cervicogenic headaches according to the text?

Cranial nerves

Which of the following is NOT a common aetiology of cervicogenic headache (CGH)?

Trigeminal neuralgia

Which of the following is NOT a recommended step for ruling out intracranial pathologies in clients with CGH?

Relying solely on routine red flag screening

Which of the following is NOT a clinical feature of CGH related to observation and palpation?

Significant swelling in the suboccipital region

Which of the following is NOT a characteristic of the pain pattern in CGH?

Constant, unremitting pain

Which of the following is NOT a potential autonomic symptom associated with CGH?

Severe tinnitus

According to the SNOOP4 red flag screening, which of the following is NOT an example of a systemic symptom that may indicate a secondary headache?

Blurred vision

Which of the following statements about the functional limitation in CGH is NOT true?

Functional limitation is solely determined by the severity of the headache

Which of the following is NOT a potential finding in CGH related to range of motion and strength?

Significant muscle atrophy in the cervical region

Which of the following statements is true regarding diagnostic injections in CGH?

Diagnostic injections are often considered as a gold standard for confirming the diagnosis of CGH

According to the SNOOP4 red flag screening, which of the following is an example of a neurological deficit that may indicate a secondary headache?

Focal neurological sign with altered level of consciousness

Learn about cervicogenic headache (CGH), a secondary headache with symptoms in the neck and head. Understand the characteristics, causes, and aggravating factors of CGH.

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