The importance of craniovertebral and cervicomedullary angles in cervicogenic headache
PURPOSEMany studies have indicated that cervicogenic headache may originate from the cervical structures innervated by the upper cervical spinal nerves. To date, no study has investigated whether narrowing of the craniovertebral angle (CVA) or cervicomedullary angle (CMA) affects the three upper cer...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2014-03-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/the-importance-of-craniovertebral-and-cervicomedul/56351
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| author | Gökçen Çoban İlker Çöven Bilal Egemen Çifçi Erkan Yıldırım Ayşe Canan Yazıcı Bahriye Horasanlı |
| author_facet | Gökçen Çoban İlker Çöven Bilal Egemen Çifçi Erkan Yıldırım Ayşe Canan Yazıcı Bahriye Horasanlı |
| author_sort | Gökçen Çoban |
| collection | DOAJ |
| description | PURPOSEMany studies have indicated that cervicogenic headache may originate from the cervical structures innervated by the upper cervical spinal nerves. To date, no study has investigated whether narrowing of the craniovertebral angle (CVA) or cervicomedullary angle (CMA) affects the three upper cervical spinal nerves. The aim of this study was to investigate the effect of CVA and/or CMA narrowing on the occurrence of cervicogenic headache. MATERIALS AND METHODSTwo hundred and five patients diagnosed with cervicogenic headache were included in the study. The pain scores of patients were determined using a visual analog scale. The nonheadache control group consisted of 40 volunteers. CVA and CMA values were measured on sagittal T2-weighted magnetic resonance imaging (MRI), on two occasions by two radiologists. Angle values and categorized pain scores were compared statistically between the groups. RESULTSIntraobserver and interobserver agreement was over 97% for all measurements. Pain scores increased with decreasing CVA and CMA values. Mean angle values were significantly different among the pain categories (P < 0.001). The pain score was negatively correlated with CMA (Spearman correlation coefficient, rs, -0.676; P < 0.001) and CVA values (rs, -0.725; P < 0.001). CONCLUSIONCVA or CMA narrowing affects the occurrence of cervicogenic headache. There is an inverse relationship between the angle values and pain scores. |
| first_indexed | 2024-03-12T02:14:31Z |
| format | Article |
| id | doaj.art-d4fc7264b59d4d60ac31014566a0c261 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:14:31Z |
| publishDate | 2014-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-d4fc7264b59d4d60ac31014566a0c2612023-09-06T11:17:38ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122014-03-0120217217710.5152/dir.2013.1321313049054The importance of craniovertebral and cervicomedullary angles in cervicogenic headacheGökçen Çoban0İlker Çöven1Bilal Egemen Çifçi2Erkan Yıldırım3Ayşe Canan Yazıcı4Bahriye Horasanlı5 Department of Radiology , Başkent University School of Medicine, Konya, Turkey From the Departments of Neurosurgery Başkent University School of Medicine, Ankara, Turkey. From the Departments of Radiology Başkent University School of Medicine, Ankara, Turkey. Department of Radiology, Başkent University School of Medicine, Konya, Turkey From the Department of, Biostatistics Başkent University School of Medicine, Ankara, Turkey. Department of Radiology Neurology, Başkent University School of Medicine, Konya, Turkey PURPOSEMany studies have indicated that cervicogenic headache may originate from the cervical structures innervated by the upper cervical spinal nerves. To date, no study has investigated whether narrowing of the craniovertebral angle (CVA) or cervicomedullary angle (CMA) affects the three upper cervical spinal nerves. The aim of this study was to investigate the effect of CVA and/or CMA narrowing on the occurrence of cervicogenic headache. MATERIALS AND METHODSTwo hundred and five patients diagnosed with cervicogenic headache were included in the study. The pain scores of patients were determined using a visual analog scale. The nonheadache control group consisted of 40 volunteers. CVA and CMA values were measured on sagittal T2-weighted magnetic resonance imaging (MRI), on two occasions by two radiologists. Angle values and categorized pain scores were compared statistically between the groups. RESULTSIntraobserver and interobserver agreement was over 97% for all measurements. Pain scores increased with decreasing CVA and CMA values. Mean angle values were significantly different among the pain categories (P < 0.001). The pain score was negatively correlated with CMA (Spearman correlation coefficient, rs, -0.676; P < 0.001) and CVA values (rs, -0.725; P < 0.001). CONCLUSIONCVA or CMA narrowing affects the occurrence of cervicogenic headache. There is an inverse relationship between the angle values and pain scores. http://www.dirjournal.org/archives/archive-detail/article-preview/the-importance-of-craniovertebral-and-cervicomedul/56351 |
| spellingShingle | Gökçen Çoban İlker Çöven Bilal Egemen Çifçi Erkan Yıldırım Ayşe Canan Yazıcı Bahriye Horasanlı The importance of craniovertebral and cervicomedullary angles in cervicogenic headache Diagnostic and Interventional Radiology |
| title | The importance of craniovertebral and cervicomedullary angles in cervicogenic headache |
| title_full | The importance of craniovertebral and cervicomedullary angles in cervicogenic headache |
| title_fullStr | The importance of craniovertebral and cervicomedullary angles in cervicogenic headache |
| title_full_unstemmed | The importance of craniovertebral and cervicomedullary angles in cervicogenic headache |
| title_short | The importance of craniovertebral and cervicomedullary angles in cervicogenic headache |
| title_sort | importance of craniovertebral and cervicomedullary angles in cervicogenic headache |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/the-importance-of-craniovertebral-and-cervicomedul/56351
|
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