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. 2008;16(2):73–80. doi: 10.1179/106698108790818422

TABLE 1.

CGH: Cervicogenic Headache International Study Group diagnostic criteria23.

Major criteria

  • I. Symptoms and signs of neck involvement
    • a) Precipitation of comparable symptoms by:
      • 1) neck movement and/or sustained, awkward head positioning, and/or
      • 2) external pressure over the upper cervical or occipital region
    • b) Restriction of range of motion in the neck
    • c) Ipsilateral neck, shoulder or arm pain
  • II. Confirmatory evidence by diagnostic anaesthetic block

  • III. Unilaterality of the head pain, without sideshift

Head pain characteristics

  • IV. Moderate-severe, non-throbbing pain, usually starting in the neck

  • Episodes of varying duration, or f uctuating, continuous pain

Other characteristics of some importance

  • V. Only marginal or lack of effect of indomethacin

  • Only marginal or lack of ef ect of ergotamine and sumatriptan

  • Female gender

  • Not infrequent history of head or indirect neck trauma, usually of more than medium severity

Other features of lesser importance

  • VI. Various attack-related phenomena, only occasionally present, and/or moderately expressed when present:
    • a) nausea
    • b) phono- and photophobia
    • c) dizziness
    • d) ipsilateral “blurred vision”
    • e) difficulties swallowing
    • f) ipsilateral oedema, mostly in the periocular area