Do the proposed cervicogenic headache diagnostic criteria demonstrate specificity in terms of separating cervicogenic headache from migraine?
Diagnostic criteria for cervicogenic headache (CH) have been proposed. These criteria are controversial in that they appear to overlap or include characteristics that usually are attributed to migraine headache (MH). Whether these criteria are specific enough to separate CH patients from MH patients remains to be controversial. The literature on this issue is reviewed. In addition, the authors report the results of a study attempting to build a model of variables typically associated with CH or MH, which would identify patients with CH. A significant model could not be built that did not include MH symptoms. As such, it has been concluded that it is unlikely that the criteria for CH will have the specificity required to separate CH patients from MH patients.
Fishbain
David A
DA
University of Miami, Comprehensive Pain & Rehabilitation Center, 600 Alton Road, Miami Beach, FL 33139, USA. d.fishbain@miami.edu
Lewis
John
J
Cole
Brandly
B
Cutler
R B
RB
Rosomoff
R Steele
RS
Rosomoff
H L
HL
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000175:diagnosis* / Q000503:physiopathology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008881:Migraine Disorders / Q000175:diagnosis* / Q000503:physiopathology*; D009333:Neck; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires