Das zervikokraniale Syndrom in der Praxis des HNO-Arztes* **

Terrahe, K

doi:10.1055/s-2007-1008141

Cited by 15 publications

(3 citation statements)

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“…A survey of the literature reveals 38 studies of patients with possible commonality of these symptoms (Table 423 gia, 21 otalgia to tinnitus, 16 TMJ pain to tinnitus and to dizziness, 74 and TMJ and/or ear pain to neither tinnitus nor TMJ internal derangement. 7 ' Data of 1 TMD study 72 (Table 4) collected over 16 years were not tested statistically, but extrapolation reveals that approximately two thirds of TMD patients with TMJ pain lacked tinnitus and 60% lacked dizziness.…”

Section: Discussionmentioning

confidence: 99%

“…The cause has been attributed to posttraumatic disk prolapse at the cervical 3 and 4 levels. 15 Symptoms common to both syndromes have been reported in patients suffering bony spinal disorders 16 and late whiplash syndrome. 17 Dysfunction of the atlanto-occipital joint has been implicated in the frequent combination of facial pain, TMJ pain, and headache. '…”

Section: Introductionmentioning

confidence: 99%

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Otalgia and Aversive Symptoms in Temporomandibular Disorders

Bush

Harkins

Harrington

1999

Ann Otol Rhinol Laryngol

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The term Costen's syndrome has been used in the dentomedical literature to describe a constellation of craniofacial symptoms. Since some of the same complaints have been reported in patients with "generalized" psychological distress, symptoms associated with the syndrome may not be useful in differential diagnosis of temporomandibular disorders. The present study investigated whether some somatic complaints, particularly tinnitus and dizziness, were pathognomonic in patients with chronic temporomandibular pain. Illness behavior and personality factors were studied for possible interrelationships with these symptoms. Factor analysis revealed that tinnitus and dizziness loaded on separate factors. Tinnitus loaded with nasal stuffiness, tearing, and itching of the eyelids and nose, while dizziness loaded with complaints of altered taste and smell and blurred vision. Neither was consistently related to measures of pain or to indices of illness behavior or somatic focus.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Otalgia and Aversive Symptoms in Temporomandibular Disorders

Bush

Harkins

Harrington

1999

Ann Otol Rhinol Laryngol

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“…Beim Menschen konnten eine gerichtete Falineigung hinaus keine Nystagmen festgestellt werden (25) (29). Seit Einführung elektronystagmographischer Registriertechniken sind beim Lebewesen mit intakten Gleichgewichtsorganen die zervikal induzierten Augenbewegungen häufig als inkonstant beschrieben worden (6,14,18,63). Einige Autoren haben ausschlie11ich kompensatorische Augenbewegungen beschrieben (5, 57, 58), andere entgegengesetzte, sogenannte antikompensatorische COR (4, 20, 30, 75).…”

Section: Die Finbindung Der Propriozeptoren Inunclassified

Zervikale Afferenzen und ihre Einbindung in die Gleichgewichtsregulation*

Holtmann¹,

Reiman²

1989

Laryngo-Rhino-Otol

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Experiments with stimulation or denervation of cervical dorsal roots in animals have shown that input of the deep neck region is important for orientation, upright posture and the control of eye movements. Muscle spindles seem to play a dominant role as receptors for neck movements. Different ascending pathways project to the central nervous system and the signals interact with visual and vestibular stimuli. Cervical afferences provide a stabilization of the trunk during head movements because neck reflexes cancel labyrinthine reflexes. Posturographic measurements with head extension manoeuvres however did not turn out to be helpful in dizzy patients. Cervically induced eye movements are part of the complex head-eye coordination. The characteristics of cervico-ocular reactions are described. They show in relation to different neck torsion velocities a tuning curve with maximum reactions at slow velocities. Therefore the velocity of trunk rotation is, among others, an important factor when stimulating cervical afferences. The results from literature as well as own experiments show that there exists no method as yet that could yield positive evidence of cervical dizziness.

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