Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

CT-Guided C2 Dorsal Root Ganglion Radiofrequency Ablation for the Treatment of Cervicogenic Headache: Case Series and Clinical Outcomes

J.L. Chazen, M. Roytman, E.S. Yoon, T.K. Mullen and D.R. Lebl
American Journal of Neuroradiology March 2022, DOI: https://doi.org/10.3174/ajnr.A7471
J.L. Chazen
aFrom the Departments of Radiology (J.L.C., E.S.Y.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.L. Chazen
M. Roytman
cDepartment of Radiology (M.R., T.K.M.), New York-Presbyterian Hospital/Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M. Roytman
E.S. Yoon
aFrom the Departments of Radiology (J.L.C., E.S.Y.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for E.S. Yoon
T.K. Mullen
cDepartment of Radiology (M.R., T.K.M.), New York-Presbyterian Hospital/Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for T.K. Mullen
D.R. Lebl
bOrthopedics (D.R.L.), Hospital for Special Surgery, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for D.R. Lebl
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Haldeman S,
    2. Dagenais S
    . Cervicogenic headaches: a critical review. Spine J 2001;1:31–46 doi:10.1016/S1529-9430(01)00024-9 pmid:14588366
    CrossRefPubMed
  2. 2.↵
    1. Blumenfeld A,
    2. Siavoshi S
    . The challenges of cervicogenic headache. Curr Pain Headache Rep 2018;22:47 doi:10.1007/s11916-018-0699-z pmid:29900508
    CrossRefPubMed
  3. 3.↵
    1. Janjua MB,
    2. Zhou PL,
    3. Greenfield JP, et al
    . C2 and greater occipital nerve: the anatomic and functional implications in spinal surgery. Cureus 2017;9:e1074 doi:10.7759/cureus.1074 pmid:28409074
    CrossRefPubMed
  4. 4.↵
    1. Barmherzig R,
    2. Kingston W
    . Occipital neuralgia and cervicogenic headache: diagnosis and management. Curr Neurol Neurosci Rep 2019;19:20 doi:10.1007/s11910-019-0937-8 pmid:30888540
    CrossRefPubMed
  5. 5.↵
    1. Bogduk N,
    2. Govind J
    . Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol 2009;8:959–68 doi:10.1016/S1474-4422(09)70209-1 pmid:19747657
    CrossRefPubMedWeb of Science
  6. 6.↵
    1. Grandhi RK,
    2. Kaye AD,
    3. Abd-Elsayed A
    . Systematic review of radiofrequency ablation and pulsed radiofrequency for management of cervicogenic headaches. Curr Pain Headache Rep 2018;22:18 doi:10.1007/s11916-018-0673-9 pmid:29476360
    CrossRefPubMed
  7. 7.↵
    1. Nagar VR,
    2. Birthi P,
    3. Grider JS, et al
    . Systematic review of radiofrequency ablation and pulsed radiofrequency for management of cervicogenic headache. Pain Physician 2015;18:109–30 doi:10.36076/ppj/2015.18.E109 pmid:25794199
    CrossRefPubMed
  8. 8.↵
    1. Lee HJ,
    2. Cho HH,
    3. Nahm FS, et al
    . Pulsed radiofrequency ablation of the C2 dorsal root ganglion using a posterior approach for treating cervicogenic headache: a retrospective chart review. Headache 2020;60:2463–72 doi:10.1111/head.13759 pmid:32052873
    CrossRefPubMed
  9. 9.↵
    1. Hamer JF,
    2. Purath TA
    . Response of cervicogenic headaches and occipital neuralgia to radiofrequency ablation of the C2 dorsal root ganglion and/or third occipital nerve. Headache 2014;54:500–10 doi:10.1111/head.12295 pmid:24433241
    CrossRefPubMed
  10. 10.↵
    1. Chazen JL,
    2. Ebani EJ,
    3. Virk M, et al
    . CT-guided block and radiofrequency ablation of the C2 dorsal root ganglion for cervicogenic headache. AJNR Am J Neuroradiol 2019;40:1433–36 doi:10.3174/ajnr.A6127 pmid:31272962
    Abstract/FREE Full Text
  11. 11.↵
    1. Olesen J
    . International classification of headache disorders. Lancet Neurol 2018;17:396–97 doi:10.1016/S1474-4422(18)30085-1 pmid:29550365
    CrossRefPubMed
  12. 12.↵
    1. Fredriksen TA,
    2. Antonaci F,
    3. Sjaastad O
    . Cervicogenic headache: too important to be left un-diagnosed. J Headache Pain 2015;16:6 doi:10.1186/1129-2377-16-6 pmid:25604994
    CrossRefPubMed
  13. 13.↵
    1. Shimohata K,
    2. Hasegawa K,
    3. Onodera O, et al
    . The clinical features, risk factors, and surgical treatment of cervicogenic headache in patients with cervical spine disorders requiring surgery. Headache 2017;57:1109–17 doi:10.1111/head.13123 pmid:28581034
    CrossRefPubMed
  14. 14.↵
    1. Esposito MF,
    2. Malayil R,
    3. Hanes M, et al
    . Unique characteristics of the dorsal root ganglion as a target for neuromodulation. Pain Med 2019;20:S23–30 doi:10.1093/pm/pnz012 pmid:31152179
    CrossRefPubMed
  15. 15.↵
    1. Brinjikji W,
    2. Cloft H,
    3. Kallmes DF
    . Anatomy of the posterior inferior cerebellar artery: relevance for C1-C2 puncture procedures. Clin Anat 2009;22:319–23 doi:10.1002/ca.20785 pmid:19280655
    CrossRefPubMed
  16. 16.↵
    1. Katoh Y,
    2. Itoh T,
    3. Tsuji H, et al
    . Complications of lateral C1-2 puncture myelography. Spine (Phila Pa 1976) 1990;15:1085–87 doi:10.1097/00007632-199011010-00001 pmid:2267601
    CrossRefPubMed
  17. 17.↵
    1. Zhang J,
    2. Shi DS,
    3. Wang R
    . Pulsed radiofrequency of the second cervical ganglion (C2) for the treatment of cervicogenic headache. J Headache Pain 2011;12:569–71 doi:10.1007/s10194-011-0351-3 pmid:21611808
    CrossRefPubMed
  18. 18.↵
    1. Daniels SP,
    2. Schweitzer AD,
    3. Baidya R, et al
    . The lateral C1-C2 puncture: indications, technique, and potential complications. AJR Am J Roentgenol 2019;212:431–42 doi:10.2214/AJR.18.19584 pmid:30512994
    CrossRefPubMed
  19. 19.↵
    1. Goel A,
    2. Laheri V
    . Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 1994;129:47–53 doi:10.1007/BF01400872 pmid:7998495
    CrossRefPubMed
  20. 20.↵
    1. Harms J,
    2. Melcher RP.
    . Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine (Phila Pa 1976) 2001;26:2467–71 doi:10.1097/00007632-200111150-00014 pmid:11707712
    CrossRefPubMedWeb of Science
  21. 21.↵
    1. Cofano F,
    2. Sciarrone GJ,
    3. Pecoraro MF, et al
    . Cervical interfacet spacers to promote indirect decompression and enhance fusion in degenerative spine: a review. World Neurosurg 2019;126:447–52 doi:10.1016/j.wneu.2019.03.114 pmid:30904796
    CrossRefPubMed
PreviousNext
Back to top
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
CT-Guided C2 Dorsal Root Ganglion Radiofrequency Ablation for the Treatment of Cervicogenic Headache: Case Series and Clinical Outcomes
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
J.L. Chazen, M. Roytman, E.S. Yoon, T.K. Mullen, D.R. Lebl
CT-Guided C2 Dorsal Root Ganglion Radiofrequency Ablation for the Treatment of Cervicogenic Headache: Case Series and Clinical Outcomes
American Journal of Neuroradiology Mar 2022, DOI: 10.3174/ajnr.A7471

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
CT-Guided C2 Dorsal Root Ganglion Radiofrequency Ablation for the Treatment of Cervicogenic Headache: Case Series and Clinical Outcomes
J.L. Chazen, M. Roytman, E.S. Yoon, T.K. Mullen, D.R. Lebl
American Journal of Neuroradiology Mar 2022, DOI: 10.3174/ajnr.A7471
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • DISCUSSION
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • CT-Guided C2 Dorsal Root Ganglion Injection and Radiofrequency Ablation for Cervicogenic Headache
  • Crossref (5)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • A Novel Ultrasound-Guided “Three in One” Approach Plus Interfascial Plane Blocks for the Treatment of Cervicogenic Headache
    Danxu Ma, Abulaihaiti Maimaitimin, Yun Wang
    Local and Regional Anesthesia 2024 Volume 17
  • The Q2 approach for percutaneous peripheral neuromodulation stimulator implantation targeting the C2 dorsal root ganglion at the C2 lamina for treatment of intractable headache: a technical note
    QiLiang Chen, Xiang Qian
    Pain Medicine 2025 26 3
  • 11. Cervicogenic headache and occipital neuralgia
    Nicole Lefel, Hans van Suijlekom, Steven P. C. Cohen, Jan Willem Kallewaard, Jan Van Zundert
    Pain Practice 2025 25 1
  • ACR Appropriateness Criteria® Cervical Pain or Cervical Radiculopathy: 2024 Update
    Rami W. Eldaya, Matthew S. Parsons, Troy A. Hutchins, Ryan Avery, Judah Burns, Brent Griffith, Alvand Hassankhani, Majid A. Khan, Henry Ng, Noah M. Raizman, Charles Reitman, Vinil N. Shah, Clint Sliker, Hesham Soliman, Vincent M. Timpone, Christian A. Tomaszewski, Noushin Yahyavi-Firouz-Abadi, Bruno Policeni
    Journal of the American College of Radiology 2025 22 5
  • CT-Guided C2 Dorsal Root Ganglion Injection and Radiofrequency Ablation for Cervicogenic Headache
    J. Levi Chazen
    American Journal of Neuroradiology 2025 46 2

More in this TOC Section

  • Guided vs Conventional Angiography Systems
  • Rescue Reentry in Carotid Near-Occlusion
  • Contour Neurovascular System: Five Year Follow Up
Show more Neurointervention

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire