Abstract：
UNASSIGNED: Cervicogenic headache is characterized by chronic posterior neck pain radiating to one side of the head, resulting from cervical spine bone or soft tissue diseases. Cervical ganglioneuroma (GN), a rare benign neuroblastic tumor, especially in the cervical spine, may cause cervicogenic headache-like symptoms.
UNASSIGNED: We report a case of GN which was surgically removed successfully to relieve the symptom.
UNASSIGNED: A 68-year-old male presented with right posterior neck pain with referred pain to the ipsilateral occipital area in May 2020. Despite administration of medications, physical therapy, and spine interventions, the symptoms intermittently recurred over one year. In July 2021, the patient complained of painful limitation of neck motion, especially on right-sided bending; no motor or sensory deficits, except for subjective numbness of the finger tips, were detected. Plain radiography of the cervical spine showed moderate degenerative changes in the mid-cervical spine. Cervical MRI revealed a cystic mass (1.5 cm × 0.5 cm × 1 cm-in size) around the right C2 dorsal root ganglion adjacent to the C1-C2 facet joint. His symptoms significantly improved after complete tumor excision.
UNASSIGNED: GN of the upper cervical spine should be considered when persistent cervicogenic headache is refractory to conservative management. In such a case, advanced imaging studies such as MRI should be performed for early diagnosis and appropriate treatment.
UNASSIGNED: We report a case of GN which was surgically removed successfully to relieve the symptom.
UNASSIGNED: A 68-year-old male presented with right posterior neck pain with referred pain to the ipsilateral occipital area in May 2020. Despite administration of medications, physical therapy, and spine interventions, the symptoms intermittently recurred over one year. In July 2021, the patient complained of painful limitation of neck motion, especially on right-sided bending; no motor or sensory deficits, except for subjective numbness of the finger tips, were detected. Plain radiography of the cervical spine showed moderate degenerative changes in the mid-cervical spine. Cervical MRI revealed a cystic mass (1.5 cm × 0.5 cm × 1 cm-in size) around the right C2 dorsal root ganglion adjacent to the C1-C2 facet joint. His symptoms significantly improved after complete tumor excision.
UNASSIGNED: GN of the upper cervical spine should be considered when persistent cervicogenic headache is refractory to conservative management. In such a case, advanced imaging studies such as MRI should be performed for early diagnosis and appropriate treatment.
摘要：
■颈源性头痛的特征是慢性颈后疼痛放射到头部的一侧，由颈椎骨或软组织疾病引起。颈神经节细胞瘤(GN),一种罕见的良性神经母细胞瘤,尤其是颈椎，可能引起颈源性头痛样症状。
■我们报告一例GN，经手术成功切除以缓解症状。
■一名68岁男性于2020年5月出现右后颈部疼痛，并涉及同侧枕骨区疼痛。尽管服用了药物，物理治疗,和脊柱干预，症状间歇性复发超过一年。2021年7月，患者抱怨颈部活动受限疼痛，尤其是右侧弯曲；没有运动或感觉缺陷，除了指尖的主观麻木，被检测到。颈椎平片显示中颈椎中度退行性变化。颈部MRI显示右侧C2背根神经节周围与C1-C2小关节相邻的囊性肿块（大小1.5cm×0.5cm×1cm）。完全切除肿瘤后，他的症状显着改善。
■当持续性颈源性头痛难以保守治疗时，应考虑上颈椎的GN。在这种情况下,应进行MRI等高级影像学研究,以便早期诊断和适当治疗.
■我们报告一例GN，经手术成功切除以缓解症状。
■一名68岁男性于2020年5月出现右后颈部疼痛，并涉及同侧枕骨区疼痛。尽管服用了药物，物理治疗,和脊柱干预，症状间歇性复发超过一年。2021年7月，患者抱怨颈部活动受限疼痛，尤其是右侧弯曲；没有运动或感觉缺陷，除了指尖的主观麻木，被检测到。颈椎平片显示中颈椎中度退行性变化。颈部MRI显示右侧C2背根神经节周围与C1-C2小关节相邻的囊性肿块（大小1.5cm×0.5cm×1cm）。完全切除肿瘤后，他的症状显着改善。
■当持续性颈源性头痛难以保守治疗时，应考虑上颈椎的GN。在这种情况下,应进行MRI等高级影像学研究,以便早期诊断和适当治疗.
