颈源性头痛的研究进展

Advance on research of cervicogenic headache

自从颈源性头痛1983年被提出后,对此研究取得了一定的进展。颈源性头痛是指由颈椎或颈部软组织病损所引起的以慢性、单侧头部疼痛为主要表现的综合征,其疼痛性质是一种牵涉痛,它的病理生理学机制是位于下行三叉神经脊束的传入纤维与高位颈神经的传入纤维在位于高位颈髓后角的三叉颈神经核发生会聚。目前其诸多诊断标准中以由国际头痛协会和颈源性头痛国际研究组提出的诊断标准最有影响力。主张采用包括麻醉药物、阻滞、外科治疗等治疗计划。

Since the term of cervicogenic headache put forward in 1983,study about cervicogenic headache has progressed.The purpose of this paper is to describe definition,clinical presentation,pathophysiology,differential diagnoses and therapapy of cervicogenic headache.Cervicogenic headache is a chronic,hemicranial pain syndrome in which the sensation of pain originates in the cervical spine or soft tissues of the neck and is referred to the head. The physiologic basis for this pain is convergence between afferents in the descending tract of the trigeminal nerve and afferents from the upper three cervical spinal nerves in the trigeminocervical nucleus where located in upper cervical spinal cord.The guidelines proposed by The Internation Headache Society and The Cervicogenic Headache International Study Group are most important among many diagnostic ones.A treatment program included pharmacological, anesthetic and surgical interventions and so on is recommended.