For example, in a study of 22 symptomatic and 20 control patients, there was no difference in the number of patients with cervical disc bulges or in the distribution of degenerative disc disease within the cervical spine [104]. CT Myelography Cervical Spine In the absence of radiographic abnormalities or neurological symptoms, CT myelography is not an appropriate first-line imaging test. CTA Neck The literature search did not identify any studies regarding the use of CTA in the evaluation of this clinical presentation. MRA Neck The literature search did not identify any studies regarding the use of MRA in the evaluation of this clinical presentation. MRI Cervical Spine There is no evidence that medical imaging is diagnostic for the etiologies of cervicogenic headache; however, imaging may lend support to its diagnosis [103]. For example, in a study of 22 symptomatic and 20 control patients, there was no difference in the number of patients with cervical disc bulges or in the distribution of degenerative disc disease within the cervical spine [104]. Cervical Neck Pain or Cervical Radiculopathy Bone Scan Whole Body with SPECT or SPECT/CT Neck The role of Tc-99m bone scan in the setting of chronic neck pain is limited. The addition of SPECT to the acquisition protocol of bone scintigraphy improves image contrast resolution [105], and thus diagnostic accuracy. Some authors have advocated the use of SPECT imaging in identifying the pain source (ie, facet disease) [106]. Furthermore, adding a CT acquisition can increase this diagnostic accuracy with anatomic localization to the SPECT images resulting in SPECT/CT [36]. Radiography Cervical Spine There is no evidence that medical imaging is diagnostic for the etiologies of cervicogenic headache; however, imaging may lend support to its diagnosis [103].
Cervical Neck Pain or Cervical Radiculopathy PCAs. For example, in a study of 22 symptomatic and 20 control patients, there was no difference in the number of patients with cervical disc bulges or in the distribution of degenerative disc disease within the cervical spine [104]. CT Myelography Cervical Spine In the absence of radiographic abnormalities or neurological symptoms, CT myelography is not an appropriate first-line imaging test. CTA Neck The literature search did not identify any studies regarding the use of CTA in the evaluation of this clinical presentation. MRA Neck The literature search did not identify any studies regarding the use of MRA in the evaluation of this clinical presentation. MRI Cervical Spine There is no evidence that medical imaging is diagnostic for the etiologies of cervicogenic headache; however, imaging may lend support to its diagnosis [103]. For example, in a study of 22 symptomatic and 20 control patients, there was no difference in the number of patients with cervical disc bulges or in the distribution of degenerative disc disease within the cervical spine [104]. Cervical Neck Pain or Cervical Radiculopathy Bone Scan Whole Body with SPECT or SPECT/CT Neck The role of Tc-99m bone scan in the setting of chronic neck pain is limited. The addition of SPECT to the acquisition protocol of bone scintigraphy improves image contrast resolution [105], and thus diagnostic accuracy. Some authors have advocated the use of SPECT imaging in identifying the pain source (ie, facet disease) [106]. Furthermore, adding a CT acquisition can increase this diagnostic accuracy with anatomic localization to the SPECT images resulting in SPECT/CT [36]. Radiography Cervical Spine There is no evidence that medical imaging is diagnostic for the etiologies of cervicogenic headache; however, imaging may lend support to its diagnosis [103].