Hemicrania Continua, Migraine Aura and The Neck!

July 2, 2009 by dean · Leave a Comment 

In a recent issue of Headache: The Journal of Head and Face Pain a case study reported a 17 year old male with hemicrania continua and aura perhaps suggesting that there is a link between hemicrania continua (headache of unknown origin) with migraine with aura (headache of unknown origin).

It was also reported in the same issue that a small trial in which an occipital nerve stimulator (which changes information from the neck) relieved the headache in five patients suffering hemicrania continua.

We also know that modifying information from the neck can also stop migrainous auras and the pain of migraine.

What does this suggest?



(Burns B, Watkins L, Goadsby PJ. Treatment od hemicrania conitua by occipital nerve stimulation with a bion device: Long term follow-up of a crossoveer study. Lancet Neurol. 2008;7:1001-1012

Rozen T. Cessation of hemiplegic migraine auras with greater occipital nerve blockade. Headache 2007;47:917-928

Seidel S, Wober C. Paroxysmal hemicrania witj visula aura in a 17 year-year old boy. Headache 2009;49(4):606-609

Takmaz, S. et al Greater occipital nerve block in migraine headache: Preliminary results of 10 patients. Agri 2008 Jan;20(1):47-50

Yi X et al Cervicogenic headache in patients with presumed migraine: missed diagnosis or misdiagnosis? J Pain. 2005 Oct;6(10):700-3

Young WB, Marmura M, Ashkenazi A, Evans RW. Expert opinion: Greater occipital nerve and other anaesthetic injections for primary headache disorders. Headache. 2008;48:1122-1125

Young et al. The first 5 minutes after greater occipital nerve block. Headache 2008;48:1126-1139)

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About dean
Consultant Headache & Migraine Physiotherapist; International Teacher; Director, The Headache Clinic & Watson Headache Institute; PhD Candidate Murdoch University, Western Australia; Adjunct Lecturer, Masters Program, Physiotherapy School, University of South Australia; MAppSc(Res) GradDipAdvManipTher Experienced health practitioners trained in the Watson Headache Approach perform the examination and treatment techniques developed by Dean Watson. These techniques are based on his extensive experience of 7000 headache patients (21,000 hours) over 21 years and are now taught internationally. For your nearest practitioner who has completed training in the ‘Watson Headache Approach’ please refer to the ‘Practitioner Directory’.

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