Abstract
Commonly, cervicogenic headache (CGH) pathology originates from the upper cervical nerve ranging from C1-C3, with C2-C3 most frequently involved. The pathophysiology and etiology of this syndrome have been the subject of ongoing controversy in the past decade. Most literature regarding CGH, mainly research about relationship between upper cranial nerves (C1-C3) indicating that the possibility it originates from other cervical levels is poorly understood. A 64-year-old man arrived with a 6-month history of occiput pain, followed by severe shooting pain in both arms, with a greater intensity on the right side. A cervical spine magnetic resonance imaging reveals disk herniations at the C5-6 and C6-C7 levels, producing neural compression. The operation involved an anterior cervical discectomy and fusion. Six months of follow-up revealed that the patient was headache-free; ultimately, the diagnosis was CGH caused by a herniated lower cervical disk. Through reporting this unusual case, we emphasized the potential correlation between lower cervical disk herniation and CGH.
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