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Magnetic resonance imaging of craniovertebral structures: clinical significance in cervicogenic headaches

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dc.contributor.author Knackstedt, Heidi
dc.contributor.author Kråkenes, Jostein
dc.contributor.author Bansevicius, Dalius
dc.contributor.author Russell, Michael Bjørn
dc.date.accessioned 2012-01-18T09:44:48Z
dc.date.available 2012-01-18T09:44:48Z
dc.date.issued 2011-09-27
dc.identifier.citation Journal of Headache and Pain 13(1): 39-44 en
dc.identifier.issn 1129-2369
dc.identifier.uri http://dx.doi.org/10.1007/s10194-011-0387-4
dc.identifier.uri http://hdl.handle.net/1956/5449
dc.description.abstract This paper aims to investigate the relevance of morphological changes in the main stabilizing structures of the craniocervical junction in persons with cervicogenic headache (CEH). A case control study of 46 consecutive persons with CEH, 22 consecutive with headache attributed to whiplash associated headache (WLaH) and 19 consecutive persons with migraine. The criteria of the Cervicogenic Headache International Study Group (CHISG) were used for diagnosing CEH; otherwise the criteria of the International Classification of Headache Disorders (ICHD II) were applied. All participants had a clinical interview, and physical and neurological examination. Proton weighted magnetic resonance imaging (MRI) of the craniovertebral junction, and the alar and transverse ligaments were evaluated and blinded to clinical information. The MRI of the craniovertebral and the cervical junctions, the alar and transverse ligaments disclosed no significant differences between those with CEH, WLaH and or migraine. The site of CEH pain was not correlated with the site of signal intensity changes of the alar and transverse ligaments. In fact, very few had moderate or severe signal intensity changes in their ligaments. MRI shows no specific changes of cervical discs or craniovertebral ligaments in CEH. en
dc.language.iso eng en
dc.publisher Springer en
dc.rights ©The Author(s) 2011 en
dc.rights.uri http://www.springer.com/open+access/open+choice?SGWID=0-40359-0-0-0 en
dc.subject Cervicogenic headache en
dc.subject Alar ligaments en
dc.subject Craniovertebral junction en
dc.subject Cervical junction en
dc.subject Transverse ligaments en
dc.subject MRI en
dc.title Magnetic resonance imaging of craniovertebral structures: clinical significance in cervicogenic headaches en
dc.type Peer reviewed en
dc.type Journal article en
dc.subject.nsi VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Radiology and diagnostic imaging: 763 en
dc.subject.nsi VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Neurology: 752 en
dc.type.version publishedVersion en


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