Cervicogenic causes of vertigo

Hain, Timothy C.

doi:10.1097/wco.0000000000000161

Cited by 83 publications

(69 citation statements)

References 31 publications

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“…El dolor cervical puede ser evidente, irradiándose bilateralmente hacia la región temporoparietal o pasar desapercibido, manifestándose exclusivamente en la exploración, durante la palpación profunda del cuello [26]. Se denomina síndrome de whiplash al conjunto de síntomas que siguen a una lesión cervical provocada por un mecanismo de latigazo, generalmente ocasionado por un golpe posterior durante la conducción [27][28]. Aunque el cinturón de seguridad reduce daños generales fijando el tórax, se incrementa la energía que recibe el cuello, ocasionando las lesiones más importantes a este nivel [3].…”

Section: Cervicogénicounclassified

“…Pero en el anciano hay otras muchas causas que también se deben valorar, como el vértigo de origen desconocido o el desequilibrio multisensorial [3]. De nuevo insistimos en la carencia actual de una prueba específica que nos permita separar a los pacientes con mareo cervical de los que tienen alteraciones cervicales y mareo de otra etiología [27]. Si las crisis de vértigo se asocian a rotación cefálica, puede darse el hipotético caso de que se trate de una obstrucción mecánica de la arteria vertebral.…”

Section: Cervicogénicounclassified

“…Al no existir una prueba específica, se trata de un diagnóstico de exclusión [2,3,8,[26][27], es decir, consideramos que un paciente con mareo/desequilibrio y dolor de cuello (teniendo en cuenta que debe existir una clara relación temporal entre ambos síntomas) tiene un mareo cervical, si se han eliminado otras causas (neurológicas, vestibulares, psicosomáticas) [25] y, sobre todo, si responde a la fisioterapia cervical con reducción del dolor y del mareo [8]. La exploración vestibular permite descartar este origen y la evaluación física y las pruebas de imagen demuestran alteraciones funcionales y/o estructurales en el cuello, que incrementan la posibilidad diagnóstica.…”

Section: Diagnóstico Y Exploración Del Mareo Cervicogénicounclassified

“…Esta prueba pone de manifiesto el reflejo cérvico ocular, que puede también detectarse en otras condiciones, como la insuficiencia vestibular bilateral [36]. Es una prueba que no depende de variables cognitivas y quizá represente en el futuro una de las mejores posibilidades de diagnóstico objetivo [27]. b.…”

Section: Diagnóstico Y Exploración Del Mareo Cervicogénicounclassified

“…Pero las pruebas de estabilidad postural no sirven para diagnosticar el mareo cervical, pues otras muchas causas pueden ocasionar esta inestabilidad y son también vulnerables a los factores cognitivos. Bien es cierto que una posturografía con balanceo normal reduciría la posibilidad diagnóstica de un mareo cervicogénico [27].…”

Section: Diagnóstico Y Exploración Del Mareo Cervicogénicounclassified

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Revisión sobre el vértigo cervical

Valda-Rodrigo¹,

Benito-Orejas

Alonso-vielba-varea³

2017

Rev. ORL

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Section: Cervicogénicounclassified

Section: Diagnóstico Y Exploración Del Mareo Cervicogénicounclassified

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Revisión sobre el vértigo cervical

Valda-Rodrigo¹,

Benito-Orejas

Alonso-vielba-varea³

2017

Rev. ORL

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Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study

et al. 2020

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Objectives/Hypothesis This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo. Study Design Case–control study. Methods Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with peripheral vertigo were identified. We compared them with a 3:1 ratio of propensity score–matched patients, 7,710 comparison patients from the same dataset. We performed multivariate logistic regressions to estimate the odds ratio for prior CS occurrence among peripheral vertigo patients versus controls. Results Of 10,280 sample patients, 1,739 (16.92%) patients had CS prior to the index date. A significant difference in prior CS between peripheral vertigo patients and controls (19.49% vs. 16.06%, P < .001) was observed. Logistic regression analysis shows that the odds of prior CS was 1.285 for peripheral vertigo patients versus controls (95% confidence interval [CI]: 1.143‐1.446) after adjusting for age, sex, urbanization level, monthly income, geographic region, hyperlipidemia, diabetes, coronary heart disease, hypertension, and asthma. Prior CS with myelopathy was not associated with peripheral vertigo. Stratified analysis by age showed that the odds of CS were highest among patients with peripheral vertigo in the 45‐ to 64‐year‐old age group (1.442, 95% CI: 1.215‐1.712). Conclusions CS is associated with subsequent peripheral vertigo in the Taiwan population, with higher risk among those aged 45 to 64 years. Level of Evidence 2b Laryngoscope, 131:E625–E630, 2021

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Symptoms in cervical vertigo

Thompson‐Harvey

Hain

2018

Laryngoscope Investig Oto

Self Cite

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Objective To use a unique, 41‐question survey to identify patient features distinguishing cervical vertigo from vestibular causes of vertigo and vestibular migraine. Methods In this study, a unique, 41‐question survey was administered to 48 patients diagnosed with cervical vertigo (n = 16), migraine (n = 16), and vestibular vertigo (eg, unilateral vestibular paresis, Meniere's disease) (n = 16) to test the hypothesis that a set of distinct symptoms can characterize cervical vertigo. Responses between the three diagnostic groups were compared to identify questions which differentiated patients based on their symptoms. Results Eight questions were successful in differentiating vestibular vertigo from migraine and cervical vertigo. Symptoms endorsed by subjects with cervical vertigo overlapped substantially with subjects with well‐established vestibular disturbances as well as symptoms of subjects with migraine. Twenty‐seven percent of cervical vertigo subjects reported having true vertigo, 50% having headache, and 94% having neck pain. Conclusion Lacking knowledge of neck disturbance, the symptoms we elicited in our questionnaire suggest that cervical vertigo subjects may resemble migraine subjects who also have evidence of neck injury. Whether or not subjects with “cervical vertigo” also overlap with other diagnoses defined by a combination of symptoms and exclusion of objective findings such as chronic subjective dizziness and other variants of psychogenic dizziness remain to be established. Level of Evidence IV

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Cervicogenic causes of vertigo

Cited by 83 publications

References 31 publications

Revisión sobre el vértigo cervical

Revisión sobre el vértigo cervical

Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study

Symptoms in cervical vertigo

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