[Cervicogenic headache caused by lower cervical spondylosis].
We report a rare case of severe facial pain and headache due to cervical spondylosis successfully treated by surgical intervention. A 48-year-old woman had been suffering from severe left side facial pain and headache since she was 44 years old. Analgesics were not effective. At 48 years of age, a magnetic resonance imaging of the cervical spine revealed a degenerated disk at the C5/6 level with encroachment on the foramina and the cord. Anesthetic blockade to the C5/6 facet joint was effective, but was temporary. After the anterior decompression and stabilization using a titanium cage, the pain disappeared completely and has not recurred through 1 year of follow up. This report indicates that lower cervical root compression may cause cervicogenic headache, which can be treated effectively by surgical intervention.
Kawabori
Masahito
M
Department of Neurosurgery, Hokkaido University Graduate School of Medicine, North 15 West 7, Kita-ku, Sapporo 060-8638, Japan.
Hida
Kazutoshi
K
Yano
Shunsuke
S
Iwasaki
Yoshinobu
Y
D019299:Decompression, Surgical / Q000379:methods; D005157:Facial Pain / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D051298:Post-Traumatic Headache / Q000209:etiology* / Q000601:surgery; D012720:Severity of Illness Index; D055009:Spondylosis / Q000150:complications* / Q000601:surgery; D014025:Titanium; D016896:Treatment Outcome
D014025:Titanium