Abstract
One of the putative causes of headache is osteoarthritis of the C2-3 zygapophysial joint. A technique for blocking the third occipital nerve which innervates this joint was devised and used as a screening procedure for headache mediated by this nerve. Seven out of ten consecutive patients presenting with suspected cervical headache were found to suffer pain mediated by the third occipital nerve and stemming from a C2-3 zygapophysial joint. Because third occipital headache may be indistinguishable clinically from tension or other forms of headache, third occipital nerve blocks are advocated as means of establishing this largely unrecognised diagnosis.
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- Bogduk N. Local anesthetic blocks of the second cervical ganglion: a technique with application in occipital headache. Cephalalgia. 1981 Mar;1(1):41–50. doi: 10.1111/j.1468-2982.1981.tb00007.x. [DOI] [PubMed] [Google Scholar]
- Bogduk N. The clinical anatomy of the cervical dorsal rami. Spine (Phila Pa 1976) 1982 Jul-Aug;7(4):319–330. doi: 10.1097/00007632-198207000-00001. [DOI] [PubMed] [Google Scholar]
- Edmeads J. Headaches and head pains associated with diseases of the cervical spine. Med Clin North Am. 1978 May;62(3):533–544. doi: 10.1016/s0025-7125(16)31791-6. [DOI] [PubMed] [Google Scholar]
- Ehni G., Benner B. Occipital neuralgia and the C1-2 arthrosis syndrome. J Neurosurg. 1984 Nov;61(5):961–965. doi: 10.3171/jns.1984.61.5.0961. [DOI] [PubMed] [Google Scholar]
- FEINSTEIN B., LANGTON J. N., JAMESON R. M., SCHILLER F. Experiments on pain referred from deep somatic tissues. J Bone Joint Surg Am. 1954 Oct;36-A(5):981–997. [PubMed] [Google Scholar]
- KERR F. W., OLAFSON R. A. Trigeminal and cervical volleys. Convergence on single units in the spinal gray at C-1 and C-2. Arch Neurol. 1961 Aug;5:171–178. doi: 10.1001/archneur.1961.00450140053005. [DOI] [PubMed] [Google Scholar]
- KERR F. W. Structural relation of the trigeminal spinal tract to upper cervical roots and the solitary nucleus in the cat. Exp Neurol. 1961 Aug;4:134–148. doi: 10.1016/0014-4886(61)90036-x. [DOI] [PubMed] [Google Scholar]
- McCall I. W., Park W. M., O'Brien J. P. Induced pain referral from posterior lumbar elements in normal subjects. Spine (Phila Pa 1976) 1979 Sep-Oct;4(5):441–446. doi: 10.1097/00007632-197909000-00009. [DOI] [PubMed] [Google Scholar]
- Mestdagh H. Morphological aspects and biomechanical properties of the vertebroaxial joint (C2-C3). Acta Morphol Neerl Scand. 1976 Feb;14(1):19–30. [PubMed] [Google Scholar]
- Mooney V., Robertson J. The facet syndrome. Clin Orthop Relat Res. 1976 Mar-Apr;(115):149–156. [PubMed] [Google Scholar]
- TREVOR-JONES R. OSTEO-ARTHRITIS OF THE PARAVERTEBRAL JOINTS OF THE SECOND AND THIRD CERVICAL VERTEBRAE AS A CAUSE OF OCCIPITAL HEADACHES. S Afr Med J. 1964 May;38:392–394. [PubMed] [Google Scholar]