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Anterior cervical surgery for the treatment of cervicogenic headache caused by cervical spondylosis: A case report

  • Fadhil ,
  • Yunus Kuntawi Aji ,
  • Sabri ,
  • Muhammad Deni Nasution ,
  • Nindi Lizen ,

Abstract

Background: Cervicogenic headache is a common disorder with cervical spine-specific nociceptive headache symptoms. Cervicogenic headaches have been studied for years, but diagnosis and treatment are continually evolving. Due to non-specific criteria and its relationship with cervical degenerative illness, diagnosis may be underestimated. In many situations, it contributes to myelopathy or radiculopathy. Cervical decompression and/or fusion are often performed in situations of cervical myelopathy and/or radiculopathy.

Case presentation: Here we report a 57-year-old female with the chief complaint of headache, especially in the occipital region worsening in the last 1 year. The pain referred to retro-orbital and left face. She had a history of surgery for the left face pain.  No abnormality was noted on neurological examination. Cervical x-ray showed cervical spondylosis with straight cervical and narrowing of intervertebral disc C4/C5, C5/C6, C6/C7 in flexion and extension position. Anterior cervical discectomy and fusion (ACDF) C4-5 and C5-6 were performed. After surgery, no new neurological abnormality or other complications developed. Early post-operation, the headache improved and completely resolved at one month post-operation.

Conclusion: The ACDF procedure is a successful intervention for the alleviation of cervicogenic headache symptoms in patients with concurrent cervical myelopathy and/or radiculopathy.

 Keywords: anterior, case report, cervicogenic headache, cervical spondylosis

How to Cite

Fadhil, Aji, Y. K., Sabri, Nasution, M. D., & Nindi Lizen. (2024). Anterior cervical surgery for the treatment of cervicogenic headache caused by cervical spondylosis: A case report. Indonesian Journal of Neurosurgery, 7(1), 28–31. https://doi.org/10.15562/ijn.v7i1.264

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