Monday, May 28, 2012
Sunday, November 29, 2009 BBergs2802 asks

Q: Cervicogenic migraine

I suffered a 2 level cervical disc herniation (C5-6, C6-7) in 1994 due to a work related accident and had a 2 level ACDF in 1996. I did extremely well for 5 years, but did know I had an osteophyte at C-6 level. By 2001 I was having severe headaches with nausea and vomiting and increased neck pain. A new MRI now showed that the 2 levels above my surgery had herniated. My neurologist diagnosed me with cervicogenic migraines (with aura, and ophthalmic migraines, as well as cervicogenic vertigo. I'm very allergic to almost all narcotic pain medications and I also had problems with Imitrex, but the migraines were somewhat controlled with Relpax, Zomig Nasal Spray and Axert. I have been trying to get my neurosurgeon to fuse C3-4, C4-5. He originally said he would, but now refuses to do the surgery. He says that I do not have cervicogenic migraines (acts like there is no such thing). So now I have a neurologist who thinks my only hope for relief from the migraines and the vertigo is the surgery, and a neurosurgeon who thinks my migraines are "all in my mind". I've had to stop driving because I can't turn my head to the right or tip it back without getting a terrible migraine headache and getting so dizzy, I pass out momentarily. I spent 2 days in the hospital in Sept. 2009 with such severe migraine pain, I thought I was having a stroke and couldn't stop throwing up. My latest MRI show extreme degeneration and several more osteophytes at the disc levels that are herniated. I need a definitive answer to the question of cervicogenic herniated discs. I am now completely disabled, receiving Social Security Disability and total permanent work comp (and constantly fighting with the work comp system). I have lost a lot of weight because I cannot eat when I have a headache (which is at least 4 days a week). I am basically home bound due to pain, and fear of falling. I also have severe fibromyalgia (from the work comp accident). I just need to know that cervicogenic herniated migraines do exist, so I have something to fight with in order to get a 2nd surgical opinion. At this point I have no life. I do all my shopping over the internet, have to hire people to do everything for me, I can't sleep and am in constant neck and head pain. Please let me know if cervicogenic migraine exist????? cervicogenic migraines

 

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Answers (1)
Nancy Harris Bonk, Health Guide
12/ 1/09 8:40pm

Hi BBergs2802,

 

There is a type of headache called cervicogenic headache and the diagnostic criteria is as follows from the International Headache Society of Headache classifications..

 

Pain, referred from a source in the neck and perceived in one or more regions of the head and/or face, fulfilling criteria C and D

  • Clinical, laboratory and/or imaging evidence of a disorder or lesion within the cervical spine or soft tissues of the neck known to be, or generally accepted as, a valid cause of headache1
  • Evidence that the pain can be attributed to the neck disorder or lesion based on at least one of the following:
    1. demonstration of clinical signs that implicate a source of pain in the neck2
    2. abolition of headache following diagnostic blockade of a cervical structure or its nerve supply using placebo- or other adequate controls3
  • Pain resolves within 3 months after successful treatment of the causative disorder or lesion
  •  

    Sounds like a Migraine specialist (a true specialist, the expert) is the way to go now. A neurologist,, while a fine doctor cannot be an expert in one area becasue they treat so many different conditions like MS, stroke and epilepsy. Migraine specialists treat one area - ours - Migraines and headaches.  

    If your doctor isn't able to help you, it may well be time to consult a Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.

     

    Neck issues can certainly trigger a Migraine. Having said that, Migraine is a genetic neurological disease thought to be caused by overactive neurons in our brains and genetics.

     

    Good luck

    Nancy

        

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    By BBergs2802— Last Modified: 12/24/10, First Published: 11/29/09