Abstract
Cervicogenic headache (CEH) is a distinct condition that is often difficult to diagnose or treat, and is prevalent in about 15-20% of chronic headaches1,2. The origin of the headache can be more difficult to identify1,2. While conservative management such as physical therapy and medications remains first line therapy, spine interventions are often required for control of refractory symptoms2,3. Often, relief of symptoms after intervention is the only definitive evidence of the diagnosis of CEH3. We present a patient with atlanto-occipital arthropathy (AOA) – as indicated by symptomatic relief following diagnostic injections to atlanto-occipital joint – as the most likely cause of CEH.
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