Cervicogenic Headache Overview

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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?

Unresponsiveness to conservative management (C) Signup and view all the answers

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

Deep cervical and scapular stabilisers activation exercise (B) Signup and view all the answers

Which type of headache often overlaps with cervicogenic headaches?

Tension-type headache (A) Signup and view all the answers

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

Neck pain and other clinical characteristics (C) Signup and view all the answers

What is a possible consequence of cervical artery dissection?

Vasoconstriction (C) Signup and view all the answers

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

Cluster headache (D) Signup and view all the answers

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

Invasive nature of treatment (D) Signup and view all the answers

What is the primary characteristic of Cervicogenic headache?

Unilateral headache in frontal and occipital region (D) Signup and view all the answers

Which of the following aggravates Cervicogenic headache?

Neck movement (D) Signup and view all the answers

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

15% (B) Signup and view all the answers

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

Underlying neuromusculoskeletal dysfunction of the cervical spine (B) Signup and view all the answers

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

'Secondary headache' (D) Signup and view all the answers

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

'Headaches caused by underlying disorders' (A) 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?

'Feet' (C) Signup and view all the answers

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

'Primary headaches' (A) Signup and view all the answers

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

'ICHD-3' (D) Signup and view all the answers

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

'Secondary headaches' (B) Signup and view all the answers

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. (B) Signup and view all the answers

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. (C) Signup and view all the answers

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. (C) 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?

Cranial bones (A) 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?

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

The trigeminal nucleus has neural connections to the posterior horns of the upper thoracic spinal cord region. (B) Signup and view all the answers

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

Cranial bones (D) 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?

The headache has significantly worsened in parallel with worsening of the presumed causative disorder. (A) Signup and view all the answers

What is the primary function of the trigeminal nucleus?

Pain and temperature function of the head and neck (A) 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?

Cranial nerves (D) Signup and view all the answers

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

Trigeminal neuralgia (D) Signup and view all the answers

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 (D) Signup and view all the answers

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

Significant swelling in the suboccipital region (C) Signup and view all the answers

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

Constant, unremitting pain (B) Signup and view all the answers

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

Severe tinnitus (B) 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?

Blurred vision (A) Signup and view all the answers

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 (B) Signup and view all the answers

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 (A) Signup and view all the answers

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 (B) 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?

Focal neurological sign with altered level of consciousness (C) Signup and view all the answers

Thunderclap headache

A sudden, intense headache that occurs within seconds or minutes.

Secondary headache

A headache that is caused by an underlying medical condition, such as a brain tumor, infection, or high blood pressure.

Cervicogenic headache

A type of headache that originates from the neck and is characterized by pain in the head, neck, and shoulder.