Cervicogenic Headache Overview
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Questions and Answers

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

  • Visual obscuration
  • New or progressive headache
  • Abrupt onset (correct)
  • Changes with change in posture

    • Which condition is NOT typically associated with secondary headaches?

  • Cervical artery dissection
  • Malignancy
  • Giant cell arteritis (correct)
  • Intracranial hypotension

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

  • Surgical intervention
  • NSAIDs and muscle relaxants (correct)
  • Radiofrequency nerve ablation
  • High-velocity manipulation

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

    <p>Unresponsiveness to conservative management</p> Signup and view all the answers

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

    <p>Deep cervical and scapular stabilisers activation exercise</p> Signup and view all the answers

    Which type of headache often overlaps with cervicogenic headaches?

    <p>Tension-type headache</p> Signup and view all the answers

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

    <p>Neck pain and other clinical characteristics</p> Signup and view all the answers

    What is a possible consequence of cervical artery dissection?

    <p>Vasoconstriction</p> Signup and view all the answers

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

    <p>Cluster headache</p> Signup and view all the answers

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

    <p>Invasive nature of treatment</p> Signup and view all the answers

    What is the primary characteristic of Cervicogenic headache?

    <p>Unilateral headache in frontal and occipital region</p> Signup and view all the answers

    Which of the following aggravates Cervicogenic headache?

    <p>Neck movement</p> Signup and view all the answers

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

    <p>15%</p> Signup and view all the answers

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

    <p>Underlying neuromusculoskeletal dysfunction of the cervical spine</p> Signup and view all the answers

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

    <p>'Secondary headache'</p> Signup and view all the answers

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

    <p>'Headaches caused by underlying disorders'</p> Signup and view all the answers

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

    <p>'Feet'</p> Signup and view all the answers

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

    <p>'Primary headaches'</p> Signup and view all the answers

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

    <p>'ICHD-3'</p> Signup and view all the answers

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

    <p>'Secondary headaches'</p> Signup and view all the answers

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

    <p>The headache is not better accounted for by another ICHD-3 diagnosis.</p> Signup and view all the answers

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

    <p>Headache is abolished following diagnostic blockade of a cranial structure or its nerve supply.</p> Signup and view all the answers

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

    <p>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.</p> Signup and view all the answers

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

    <p>Cranial bones</p> Signup and view all the answers

    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?

    <p>It allows for the bidirectional transmission of pain signals between the neck and the sensory distribution of the trigeminal nerve.</p> Signup and view all the answers

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

    <p>The trigeminal nucleus has neural connections to the posterior horns of the upper thoracic spinal cord region.</p> Signup and view all the answers

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

    <p>Cranial bones</p> Signup and view all the answers

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

    <p>The headache has significantly worsened in parallel with worsening of the presumed causative disorder.</p> Signup and view all the answers

    What is the primary function of the trigeminal nucleus?

    <p>Pain and temperature function of the head and neck</p> Signup and view all the answers

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

    <p>Cranial nerves</p> Signup and view all the answers

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

    <p>Trigeminal neuralgia</p> Signup and view all the answers

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

    <p>Relying solely on routine red flag screening</p> Signup and view all the answers

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

    <p>Significant swelling in the suboccipital region</p> Signup and view all the answers

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

    <p>Constant, unremitting pain</p> Signup and view all the answers

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

    <p>Severe tinnitus</p> Signup and view all the answers

    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?

    <p>Blurred vision</p> Signup and view all the answers

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

    <p>Functional limitation is solely determined by the severity of the headache</p> Signup and view all the answers

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

    <p>Significant muscle atrophy in the cervical region</p> Signup and view all the answers

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

    <p>Diagnostic injections are often considered as a gold standard for confirming the diagnosis of CGH</p> Signup and view all the answers

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

    <p>Focal neurological sign with altered level of consciousness</p> Signup and view all the answers

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