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Headache Anatomy and Mechanisms of Peripheral Nerve Interventions

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Book cover Peripheral Interventional Management in Headache

Part of the book series: Headache ((HEAD))

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Abstract

The functional anatomy of the trigeminal nerve and upper cervical nerves in transmitting head and neck pain is briefly reviewed. The chapter will focus on specific structures that interventional approaches target in headache management. The aim is to provide a general view and an understanding of the mechanisms underlying peripheral nerve interventions in clinical practice.

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References

  1. Bolay H, Messlinger K, Dux M, Akcali D. Anatomy of headache. In: Marteletti P, Jensen R, editors. Pathophysiology of headaches. Switzerland: Springer International Publishing; 2015. p. 1–29.

    Google Scholar 

  2. McNaughton FL, Feindel WH. Innervation of intracranial structures: a reappraisal Physiological aspects of Clinical Neurology. Oxford: Blackwell Scientific Publications; 1977. p. 279–93.. ed. Rose, F. C

    Google Scholar 

  3. Bogduk N. Anatomy and physiology of headache. Biomed Pharmacother. 1995;49(10):435–45.

    Article  CAS  Google Scholar 

  4. Mancall EL, Brock DG, editors. Cranial meninges in Grey’s Clinical Neuroanatomy. Philadelphia: Elsevier; 2011. p. 69–83.

    Google Scholar 

  5. Kosaras B, Jakubowski M, Kainz V, Burstein R. Sensory innervation of the calvarial bones of the mouse. J Comp Neurol. 2009;515(3):331–48.

    PubMed  PubMed Central  Google Scholar 

  6. Arbab MA, Delgado T, Wiklund L, Svendgaard NA. Brain stem terminations of the trigeminal and upper spinal ganglia innervation of the cerebrovascular system: WGA-HRP transganglionic study. J Cereb Blood Flow Metab. 1988;8(1):54–63.

    Google Scholar 

  7. Lee SH, Hwang SJ, Koh KS, Song WC, Han SD. Macroscopic innervation of the dura mater covering the middle cranial fossa in humans correlated to neurovascular headache. Front Neuroanat. 2017;11:127.

    Google Scholar 

  8. Mørch CD, Hu JW, Arendt-Nielsen L, Sessle BJ. Convergence of cutaneous, musculoskeletal, dural and visceral afferents onto nociceptive neurons in the first cervical dorsal horn. Eur J Neurosci. 2007;26(1):142–54.

    Article  Google Scholar 

  9. Bartsch T, Goadsby PJ. Increased responses in trigeminocervical nociceptive neurons to cervical input after stimulation of the dura mater. Brain. 2003;126(Pt 8):1801–13.

    Article  CAS  Google Scholar 

  10. Piovesan EJ, Kowacs PA, Tatsui CE, Lange MC, Ribas LC, Werneck LC. Referred pain after painful stimulation of the greater occipital nerve in humans: evidence of convergence of cervical afferences on trigeminal nuclei. Cephalalgia. 2001;21(2):107–9.

    Article  CAS  Google Scholar 

  11. Bolay H, Reuter U, Dunn AK, Huang Z, Boas DA, Moskowitz MA. Intrinsic brain activity triggers trigeminal meningeal afferents in a migraine model. Nat Med. 2002;8(2):136–42.

    Article  CAS  Google Scholar 

  12. Simon B, Blake J. Mechanism of action of non-invasive cervical vagus nerve stimulation for the treatment of primary headaches. Am J Manag Care. 2017;23(17 Suppl):S312–6.

    PubMed  Google Scholar 

  13. Guo CC, Sturm VE, Zhou J, Gennatas ED, Trujillo AJ, Hua AY, Crawford R, Stables L, Kramer JH, Rankin K, Levenson RW, Rosen HJ, Miller BL, Seeley WW. Dominant hemisphere lateralization of cortical parasympathetic control as revealed by frontotemporal dementia. Proc Natl Acad Sci USA. 2016;113(17):E2430–9.

    Article  CAS  Google Scholar 

  14. Gebhart GF. Descending modulation of pain. Neurosci Biobehav Rev. 2004;27:729–37.

    Article  CAS  Google Scholar 

  15. Abdallah K, Artola A, Monconduit L, Dallel R, Luccarini P. Bilateral descending hypothalamic projections to the spinal trigeminal nucleus caudalis in rats. PLoS One. 2013;8(8):e73022.

    Article  CAS  Google Scholar 

  16. Millan MJ, Gramsch C, Przewłocki R, Höllt HA. Lesions of the hypothalamic arcuate nucleus produce a temporary hyperalgesia and attenuate stress-evoked analgesia. Life Sci. 1980;27(16):1513–23.

    Article  CAS  Google Scholar 

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Correspondence to Hayrunnisa Bolay .

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Bolay, H., Karadas, O. (2019). Headache Anatomy and Mechanisms of Peripheral Nerve Interventions. In: Özge, A., Uludüz, D., Karadaş, Ö., Bolay, H. (eds) Peripheral Interventional Management in Headache. Headache. Springer, Cham. https://doi.org/10.1007/978-3-030-10853-3_2

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  • DOI: https://doi.org/10.1007/978-3-030-10853-3_2

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10852-6

  • Online ISBN: 978-3-030-10853-3

  • eBook Packages: MedicineMedicine (R0)

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