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Botulinum Toxin Injection for Cervicogenic Headache
Author(s) -
Hobson Douglas E.,
Gladish Daniel F.
Publication year - 1997
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1046/j.1526-4610.1997.3704253.x
Subject(s) - cervicogenic headache , medicine , whiplash , botulinum toxin , neck pain , refractory (planetary science) , anesthesia , surgery , poison control , migraine , physics , alternative medicine , environmental health , pathology , astrobiology
We report a 28‐year‐old woman with a 5‐year history of cervicogenic headache following a whiplash injury, Her unilateral neck pain, if aggravated by exertion, would create a predictable sequence of events leading to a hemicephalgia. She proved medically refractory to usual therapies, but had a striking response to a single botulinum toxin injection in her symptomatic rapezius muscle. Repeated injections every 3 months have been required to maintain this benefit. The implications of this observation are discussed.