Cervical vertigo3/20/2023 ![]() ![]() If patients with cervical spondylosis (radiculopathy or myelopathy) accompanying vertigo do not respond to conservative treatment, anterior cervical surgery can guarantee the reduction of neurologic symptoms and signs and concomitant vertigo. Owing to the complexity of causes of cervical vertigo, my review of treatment mainly focuses on vertigo caused by degenerative cervical disc disease. The incidence of symptoms of vertigo was approximately 50%–65% in patients with cervical spondylosis.12, 19 Because cervical degenerative disease is the most common disease in all neck disorders, it is reasonable to hypothesize that this group is the largest with cervical vertigo. Several studies have demonstrated disturbed postural stability in patients with neck Ruffini Corpuscles and Cervical VertigoĪ number of clinical studies have found that patients with cervical degenerative disease tended to have concomitant vertigo.18, 19, 20 Cervical degenerative disease in humans is most common in the low cervical region. Brandt and Bronstein 11 thought that altered upper cervical somatosensory input associated with neck pain plays a key role in pathogenesis of cervical vertigo. 10 These authors were the first to propose that the abnormal sensory information from the damaged joint receptors of upper cervical regions may be related to pathologies of vertigo. The term cervical vertigo was formally coined by Ryan and Cope in 1955. In the 1920s, the anatomy and function Neck Pain and Cervical Vertigo 4 Barré and Liéou proposed that the posterior sympathetic plexus could be mechanically irritated by degenerative arthritis in the cervical spine, and the sympathetic irritation could produce reflexive vasoconstriction in the vertebrobasilar system, thus accounting for the symptoms of vertigo and dysequilibrium. Further studies are needed to illustrate the complex pathophysiologic mechanisms of cervical vertigo and to better understand and manage this perplexing entity.īased on the work of Barré and Liéou in 1928, vertigo of cervical origin was thought to be due to abnormal input from cervical sympathetic nerves. Abnormal neck proprioceptive input integrated from the signals of Ruffini corpuscles in diseased cervical discs and muscle spindles in tense neck muscles secondary to neck pain is transmitted to the central nervous system and leads to a sensory mismatch with vestibular and other sensory information, resulting in a subjective feeling of vertigo and unsteadiness. ![]() Recent research found that the ingrowth of a large number of Ruffini corpuscles into diseased cervical discs may be related to vertigo of cervical origin. Further studies found that cervical vertigo seems to originate from diseased cervical intervertebral discs. Ryan and Cope in 1955 proposed that abnormal sensory information from the damaged joint receptors of upper cervical regions may be related to pathologies of vertigo of cervical origin. Later studies found that cerebral blood flow is not influenced by sympathetic stimulation. Cervical vertigo was first thought to be due to abnormal input from cervical sympathetic nerves based on the work of Barré and Liéou in 1928. Among the various causes of vertigo, so-called cervical vertigo is still a controversial entity. Vertigo is one of the most common presentations in adult patients.
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |