Botulinum toxin injection for cervicogenic headache.
We report a 28-year-old woman with a 5-year history of cervicogenic headache following a whiplash injury. Her unilateral neck pain, if aggravated by exertion, would create a predictable sequence of events leading to a hemicephalgia. She proved medically refractory to usual therapies, but had a striking response to a single botulinum toxin Injection in her symptomatic trapezius muscle. Repeated Injections every 3 months have been required to maintain this benefit. The Implications of this observation are discussed.
Hobson
D E
DE
Section of Neurology, University of Manitoba, Winnipeg, Canada.
Gladish
D F
DF
D000328:Adult; D018726:Anti-Dyskinesia Agents / Q000627:therapeutic use*; D001905:Botulinum Toxins / Q000627:therapeutic use*; D005260:Female; D006261:Headache / Q000209:etiology / Q000628:therapy*; D006801:Humans; D009333:Neck; D014911:Whiplash Injuries / Q000150:complications
D018726:Anti-Dyskinesia Agents; D001905:Botulinum Toxins