abant med j Abant Medical Journal 1305-4392 2147-1800 Bolu Abant Izzet Baysal University 10.47493/abantmedj.1703992 Neurology and Neuromuscular Diseases Nöroloji ve Nöromüsküler Hastalıklar C2 Odontoid Process Pathology in A Patient with Cervicogenic Headache https://orcid.org/0000-0001-6478-5191 Mehel Metin Kübra Ankara Eğitim ve Araştırma Hastanesi https://orcid.org/0000-0002-6270-9715 Tosunoğlu Bünyamin Sağlık Bilimleri Üniversitesi Ankara Eğitim ve Araştırma Hastanesi https://orcid.org/0000-0002-0394-9970 Akyıldız Ayşe Betül Sağlık Bilimleri Üniversitesi Ankara Eğitim ve Araştırma Hastanedi https://orcid.org/0000-0002-2441-0624 İnan Levent Sağlık Bilimleri Üniversitesi Ankara Eğitim ve Araştırma Hastanesi 12 30 2025 14 3 225 229 06 05 2025 10 07 2025 Copyright © 2012, Abant Medical Journal 2012 Abant Medical Journal

Cervicogenic headache is a type of pain in which the trigeminocervical nucleus plays a role. It starts from the neck unilaterally and spreads forward. The patient's neck flexion-rotation mobility decreases. Careful examination of the neck is required. Its pathogenesis is not clear, and it is thought to be caused by various structures in the neck. However, it has been stated that there may not be specific findings in cervical magnetic resonance imaging (MRI). A 62-year-old female patient presented with a headache radiating from her left neck to her head for 13 years. The diagnosis of cervicogenic headache was considered in the patient, and C2 odontoid process irregularity was detected in cervical MRI. We wanted to present our case of cervicogenic headache, who have specific cervical image findings.

 Cervicogenic Headache Odontoid Process Headache Sjaastad O, Saunte C, Hovdahl H, et al. “Cervicogenic” headache. A hypothesis. Cephalalgia. 1983;3:249–256. Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38:1–211. Antonaci F, Inan LE. Headache and neck. Cephalalgia. 2021;41:438–442. Sjaastad O, Bakketeig LS. Prevalence of cervicogenic headache: Vågå study of headache epidemiology. Acta Neurol Scand. 2008;117(3):173–180. Jobin K, Smith A, Campbell C, et al. The safety and feasibility of transcranial direct current stimulation and exercise therapy for the treatment of cervicogenic headaches: a randomized pilot trial. Headache. 2025;65(5):845–862. Bogduk N, Govind J. Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol. 2009;8:959–967. Freese A, Schilgen M, Edvinsson L, et al. Calcitonin gene-related peptide in cervicogenic headache. Cephalalgia. 2005;25:700–703. Sjaastad O, Fredriksen TA, Pfaffenrath V. Cervicogenic headache: diagnostic criteria. Headache. 1990;30:725–726. Coskun O, Ucler S, Karakurum B, et al. Magnetic resonance imaging of patients with cervicogenic headache. Cephalalgia. 2003;23:842–845. Piovesan EC, Utiumi MAT, Grossi DB. Cervicogenic headache: how to recognize and treat. Best Pract Res Clin Rheumatol. 2024;38:101931. Robinson CL, Christensen RH, Al-Khazali HM, et al. Prevalence and relative frequency of cervicogenic headache in population- and clinic-based studies: a systematic review and meta-analysis. Cephalalgia. 2025;45:3331024251322446. Zaw ST, Zaw T, Torres B. Use of rimegepant in the management of cervicogenic headache secondary to trauma: a case series. Cureus. 2023;15:e34662. Romano A, Cipriani V, Bozzao A. Neuroradiology and headaches. J Headache Pain. 2006;7:422–432. Knackstedt H, Krakenes J, Bansevicius D, et al. Magnetic resonance imaging of craniovertebral structures: clinical significance in cervicogenic headaches. J Headache Pain. 2012;13:39–44. Bogduk N. The anatomical basis for cervicogenic headache. J Manip Physiol Ther. 1992;15:67–70. Kerr FW. Central relationships of trigeminal and cervical primary afferents in the spinal cord and medulla. Brain Res. 1972;43:561–572. Bogduk N. The neck and headaches. Neurol Clin. 2004;22:151–171. Diener HC, Kaminski M, Stappert G, et al. Lower cervical disc prolapse may cause cervicogenic headache: prospective study in patients undergoing surgery. Cephalalgia. 2007;27:1050–1054. Jain N, Verma R, Garga UC, et al. CT and MR imaging of odontoid abnormalities: a pictorial review. Indian J Radiol Imaging. 2016;26(1):108–119. Zikou AK, Argyropoulou MI, Alamanos Y, et al. Magnetic resonance imaging findings of the cervical spine in patients with rheumatoid arthritis: a cross-sectional study. Clin Exp Rheumatol. 2005;23:665–670. Erbengi A, Oge HK. Congenital malformations of the craniovertebral junction: classification and surgical treatment. Acta Neurochir (Wien). 1994;127:180–185.