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Cervicogenic headache. Smith/Robinson approach in bilateral cases.

Authors
  • Jansen, Jürgen1
  • Sjaastad, Ottar
  • 1 Department of Neurosurgery, Georg-August Universität, Göttingen, Germany. , (Germany)
Type
Published Article
Journal
Functional neurology
Publication Date
Jan 01, 2006
Volume
21
Issue
4
Pages
205–210
Identifiers
PMID: 17367580
Source
Medline
License
Unknown

Abstract

The aim was to follow the postoperative fate of cervicogenic headache (CEH) patients with a hard-to-treat, bilateral headache, operated upon by the Smith/Robinson procedure, a stabilization and decompression operation in the cervical spine. CEH is a typically unilateral headache, but in this study, bilateral cases were deliberately selected (n=28). The patients were, otherwise, diagnosed according to the Cervicogenic Headache International Study Group (CHISG) CEH criteria. In most cases, the discs C(4-5), C(5-6) and C(6-7) were affected, and one or two discs were removed by anterior approach; an interbody fusion was carried out. Immediately postoperatively - up to 2-3 months - there was pain freedom. Secondary deterioration was reported to us in 10 patients, in nine of whom it occurred within three years. The remaining 18 patients were followed up for 2-100 months; the mean duration of improvement was 22.7 months. Bilateral, Smith/Robinson operated CEH patients seemed to fare as well as unilateral ones.

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