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山东省立医院疼痛科英语晨读已经坚持10余年的时间了，每天交班前15分钟都会精选一篇英文文献进行阅读和翻译。一是可以保持工作后的英语阅读习惯，二是可以学习前沿的疼痛相关知识。我们会将晨读内容与大家分享，助力疼痛学习。

本次文献选自Barmherzig R, Kingston W. Occipital Neuralgia and Cervicogenic Headache: Diagnosis and Management. Curr Neurol Neurosci Rep. 2019 Mar 19;19(5):20.本次学习由阎芳副主任医师主讲。

Occipital neuralgia (ON) and cervicogenic headache (CGH) are secondary headache disorders with

Anatomy

Headache in ON and CGH relates mechanistically to convergence

between the upper cervical nociceptive afferents and thetrigeminal

nociceptive afferents in the trigeminocervical complex.This allows for

pain arising from the upper cervicalnerves to be referred to regions of the head innervated bytrigeminal afferents, such as the orbital, frontal, and parietalregions.

解剖

ON和CGH的头痛在机制上与三叉神经-颈髓复合体中上颈部伤害性传入和三叉神经伤害性传入之间的交互作用有关。因此，上颈段神经引起的疼痛可能表现为三叉神经传入支配的头部区域的牵涉痛，如眼眶、额部和顶部区域。