Cervicogenic headache: long-term prognosis after neck surgery.
In: Acta Neurologica Scandinavica, Jg. 115 (2007-03-01), Heft 3, S. 185-191
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Zugriff:
Objectives – To evaluate the postoperative fate of chronic, hard-to-treat and partly suicidal cervicogenic headache (CEH) patients ( n = 32), diagnosed according to the CHISG criteria and treated with a decompression/stabilization operation in the cervical spine: the Smith/Robinson operation. Methods – The cervical levels of affection, singled out by magnetic resonance, anaesthetic blockades and X-ray examinations were mainly at the C4-5, C5-6, C6-7 levels; one or two discs were removed. The study was prospective and controlled. Results – During the 1- to 3-month-long postoperative period of collar-wearing, there generally was pain freedom. The mean time of follow-up was 19.8 months: pain recurrence, known to the authors, appeared after 1–58 months ( n = 12). The mean time of improvement was: 14.8 months (range 1–58 months). Five patients stayed well ≥3 years. This is certainly a minimum figure. The patients ultimately were lost to follow-up. Conclusions – For the time being, this operation should preferably be used in selected, chronic, severely afflicted, preferably elderly CEH patients, when other therapeutic approaches are exhausted. [ABSTRACT FROM AUTHOR]
Titel: |
Cervicogenic headache: long-term prognosis after neck surgery.
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Autor/in / Beteiligte Person: | Jansen, J. ; Sjaastad, O. |
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Zeitschrift: | Acta Neurologica Scandinavica, Jg. 115 (2007-03-01), Heft 3, S. 185-191 |
Veröffentlichung: | 2007 |
Medientyp: | academicJournal |
ISSN: | 0001-6314 (print) |
DOI: | 10.1111/j.1600-0404.2006.00771.x |
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