Volume 1, Issue 4 (Autumn 2018)
Func Disabil J 2018, 1(4): 54-61 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Bonakdar Tehrani M A, Akbari M, Dadgoo M. Misdiagnosis of Patients with Cervicogenic Headache: A Case Series Study. Func Disabil J 2018; 1 (4) :54-61
URL: http://fdj.iums.ac.ir/article-1-78-en.html
URL: http://fdj.iums.ac.ir/article-1-78-en.html
1- MSc. Student, Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran
2- Professor, Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran ,Akbari.mo@iums.ac.ir
3- Assistant Professor, Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran
2- Professor, Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran ,
3- Assistant Professor, Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran
Abstract: (1922 Views)
Background and Objectives: Cervicogenic headache is considered to be one of the most controversial headaches because of its diagnostic challenges. It has several pathogeneses resulting in different signs and symptoms that make therapists prone to misdiagnosis. The aim of this study was to estimate the prevalence of diagnostic errors in cervicogenic headache patients.
Methods: In this study that was conducted in the physiotherapy ward of the Ministry of Cooperatives, Labour, and Social Welfare clinic in summer 2018, 60 patients with chronic headache were examined using the International Headache Society Diagnostic criteria and five physical tests. The aim of this study was to determine the number of the patients with cervicogenic headache who were not diagnosed or were misdiagnosed before this study.
Results: Fifty-three of the volunteers had cervicogenic headache. Only four of them were diagnosed correctly before this study, indicating that 92% of the cervicogenic headache patients were not diagnosed properly in this study.
Conclusion: There is a significantly high rate of misdiagnosis in patients with cervicogenic headache. Because of the physical mechanisms that induce this type of headache, applying valid and reliable physical tests together with diagnostic criteria may lead to accurate diagnosis of cervicogenic headache.
Methods: In this study that was conducted in the physiotherapy ward of the Ministry of Cooperatives, Labour, and Social Welfare clinic in summer 2018, 60 patients with chronic headache were examined using the International Headache Society Diagnostic criteria and five physical tests. The aim of this study was to determine the number of the patients with cervicogenic headache who were not diagnosed or were misdiagnosed before this study.
Results: Fifty-three of the volunteers had cervicogenic headache. Only four of them were diagnosed correctly before this study, indicating that 92% of the cervicogenic headache patients were not diagnosed properly in this study.
Conclusion: There is a significantly high rate of misdiagnosis in patients with cervicogenic headache. Because of the physical mechanisms that induce this type of headache, applying valid and reliable physical tests together with diagnostic criteria may lead to accurate diagnosis of cervicogenic headache.
Subject:
Physiotherapy
Received: 2019/05/7 | Accepted: 2019/07/13 | Published: 2018/12/24
Received: 2019/05/7 | Accepted: 2019/07/13 | Published: 2018/12/24
References
1. A Clinical Perspective. THE JOURNAL OF MANUAL & MANIPULATIVE THERAPY, 16(2), 1.
2. Amiri, M., Jull, G., Bullock-Saxton, J., Darnell, R., & Lander, C. (2007). Cervical musculoskeletal impairment in frequent intermittent headache. Part 2: subjects with concurrent headache types. Cephalalgia, 27(8), 891-898. [DOI:10.1111/j.1468-2982.2007.01346.x] [PMID]
3. Antonaci, F., & Sjaastad, O. (2011). Cervicogenic headache: a real headache. Curr Neurol Neurosci Rep, 11(2), 149-155. [DOI:10.1007/s11910-010-0164-9] [PMID]
4. Bogduk, N., & Govind, J. (2009). Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol, 8(10), 959-968. [DOI:10.1016/S1474-4422(09)70209-1]
5. Bono, G., Antonaci, F., Ghirmai, S., Sandrini, G., & Nappi, G. (1998). The clinical profile of cervicogenic headache as it emerges from a study based on the early diagnostic criteria (Sjaastad et al., 1990). Funct Neurol, 13(1), 75-77.
6. CÉSAR FERNÁNDEZ-DE-LAS-PEÑAS, P., DO, PhD , Department of Physical Therapy, Universidad Rey Juan Carlos, Madrid, Spain. (2009). Clinical Evaluation of Cervicogenic Headache:
7. Fernandez-De-Las-Penas, C. (2010). Tension-Type and Cervicogenic Headache Sudbury, Massachusetts: JONES AND BARTLETT PUBLISHERS.
8. Fernandez-de-las-Penas, C., & Cuadrado, M. L. (2014). Therapeutic options for cervicogenic headache. Expert Rev Neurother, 14(1), 39-49. [DOI:10.1586/14737175.2014.863710] [PMID]
9. Fernandez-De-Las-Penas, C., & Cuadrado, M. L. (2016). Dry needling for headaches presenting active trigger points. Expert Rev Neurother, 16(4), 365-366. [DOI:10.1586/14737175.2016.1152889] [PMID]
10. Haldeman, S., & Dagenais, S. (2001). Cervicogenic headaches: a critical review. Spine J, 1(1), 31-46. [DOI:10.1016/S1529-9430(01)00024-9]
11. Hall, T., & Robinson, K. (2004). The flexion-rotation test and active cervical mobility--a comparative measurement study in cervicogenic headache. Man Ther, 9(4), 197-202. [DOI:10.1016/j.math.2004.04.004] [PMID]
12. Hans A. van Suijlekom, M. H. C. W. d. V., PhD; Suzanne G.M. van den Berg, MSc;, & Wilhelm E.J. Weber, M., PhD. (2000). Interobserver Reliability in Physical Examination of the Cervical Spine in Patients With Headache. Headache, 40. [DOI:10.1046/j.1526-4610.2000.00090.x] [PMID]
13. IHS. (2013). The International Classification of Headache disorders, 3rd edition, (beta version). Cephalalgia, 33(9). [DOI:10.1177/0333102413485658] [PMID]
14. Magee, D. J. (2014). ORTHOPEDIC PHYSICAL ASSESSMENT. Canada: Elsevier.
15. Pfaffenrath, V., & Kaube, H. (1990). Diagnostics of cervicogenic headache. Funct Neurol, 5(2), 159-164.
16. Roth, J. K., Roth, R. S., Weintraub, J. R., & Simons, D. G. (2007). Cervicogenic headache caused by myofascial trigger points in the sternocleidomastoid: a case report. Cephalalgia, 27(4), 375-380. [DOI:10.1111/j.1468-2982.2007.01296.x] [PMID]
17. Rubio-Ochoa, J., Benitez-Martinez, J., Lluch, E., Santacruz-Zaragoza, S., Gomez-Contreras, P., & Cook, C. E. (2016). Physical examination tests for screening and diagnosis of cervicogenic headache: A systematic review. Man Ther, 21, 35-40. [DOI:10.1016/j.math.2015.09.008] [PMID]
18. Sjaastad, O. (1992). Cervicogenic headache: the controversial headache. Clin Neurol Neurosurg, 94 Suppl, S147-149. [DOI:10.1016/0303-8467(92)90053-6]
19. van Suijlekom, J. A., de Vet, H. C., van den Berg, S. G., & Weber, W. E. (1999). Interobserver reliability of diagnostic criteria for cervicogenic headache. Cephalalgia, 19(9), 817-823. [DOI:10.1046/j.1468-2982.1999.1909817.x] [PMID]
20. Xiaobin Yi, A. J. C., Robin J, Hamill-ruth, and John C. Rowlingson. (2005). Cervicogenic Headache in Patients With Presumed Migraine: Missed Diagnosis or MisDiagnosis? American Pain Society, 6(10), 4. [DOI:10.1016/j.jpain.2005.04.005] [PMID]
Contact Information
All the work in this journal are licensed under a Creative Commons
ATTRIBUTION-NONCOMMERCIAL-SHAREALIKE 4.0
INTERNATIONAL International License.
Tehran Province, Tehran, District 3, Mirdamad Ave, Nezam Ave, School of Rehabilitation Science
Tel: +98 21 22228051-2 Ext: 180
Fax98 21 22220946
All the work in this journal are licensed under a Creative Commons
ATTRIBUTION-NONCOMMERCIAL-SHAREALIKE 4.0
INTERNATIONAL International License.