Concurrent sorgical and craniofacial and a view of empric and basic science evidence

P. A. Browne, G. T. Clark, Takuo Kuboki, N. Y. Adachi

Research output: Contribution to journalArticle

Abstract

Because many patients present themselves for treatment with both craniofacial and craniocervical pain, two questions arise: 1) What are the sensory and motor consequences of dysfunction in either of these areas on the other? 2) Do craniofacial and craniocervical pain have a similar cause? These questions formed the impetus for this review article. The phenomenon of concurrent pain in craniofacial and cervical structures is considered, and clinical reports and opinions are presented regarding theories of cervical-to-craniofacial and craniofacial-tocervical pain referral. Because pain referral between these two areas requires anatomic and functional connectivity between trigeminally and cervically in-nervated structures, basic neurophysiologic and neuroanatomic literature is reviewed. The published data clearly demonstrate neurophysiologic and structural convergence of cervical sensory and muscle afferent inputs onto trigeminal subnucleus caudalis nociceptive and non-nociceptive neurons. Moreover, changes in metabolic activity and blood flow in the brainstem and cervical dorsal horn of the spinal cord in both monkeys and cats have been demonstrated after electric stimulation of the V1innervated superior sagittal sinus. In conclusion, the animal experimental data support the findings of human empiric and experimental studies, which suggest that strong connectivity exists between tri-.

Original languageEnglish
Pages (from-to)162-163
Number of pages2
JournalHeadache Quarterly
Volume10
Issue number2
Publication statusPublished - 1999
Externally publishedYes

Fingerprint

Facial Pain
Referral and Consultation
Superior Sagittal Sinus
Neck Pain
Electric Stimulation
Brain Stem
Haplorhini
Cats
Neurons
Pain
Muscles
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Concurrent sorgical and craniofacial and a view of empric and basic science evidence. / Browne, P. A.; Clark, G. T.; Kuboki, Takuo; Adachi, N. Y.

In: Headache Quarterly, Vol. 10, No. 2, 1999, p. 162-163.

Research output: Contribution to journalArticle

Browne, P. A. ; Clark, G. T. ; Kuboki, Takuo ; Adachi, N. Y. / Concurrent sorgical and craniofacial and a view of empric and basic science evidence. In: Headache Quarterly. 1999 ; Vol. 10, No. 2. pp. 162-163.
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