Advanced

The conundrum of cervicogenic dizziness

Magnusson, Måns LU and Malmström, E. M. LU (2016) In Handbook of Clinical Neurology 137. p.365-369
Abstract

Cervicogenic or cervical dizziness is debated as an entity. However, there exists both a physiologic basis and a multitude of clinical data to make such a disease concept at least possible and worth considering. In addition, the interaction of proprioceptive and vestibular mechanisms may amplify dizziness of other origin. Cervical pain and dizziness are both common symptoms and may coincide, and neck pain or obvious dysfunction does not necessarily cause dizziness or balance disturbances. So far, there is also the lack of a proper diagnostic test for cervicogenic dizziness. On the other hand, there is growing evidence that cervical proprioceptive input is important for balance and postural control not only in animals but also in humans,... (More)

Cervicogenic or cervical dizziness is debated as an entity. However, there exists both a physiologic basis and a multitude of clinical data to make such a disease concept at least possible and worth considering. In addition, the interaction of proprioceptive and vestibular mechanisms may amplify dizziness of other origin. Cervical pain and dizziness are both common symptoms and may coincide, and neck pain or obvious dysfunction does not necessarily cause dizziness or balance disturbances. So far, there is also the lack of a proper diagnostic test for cervicogenic dizziness. On the other hand, there is growing evidence that cervical proprioceptive input is important for balance and postural control not only in animals but also in humans, and that intervention in disorders affecting the human cervical segment may relieve dizziness in some patients. It is advocated that the diagnosis should be used with care and that there is a need for better diagnostic tests. In the absence of such a test, one has to rely on preliminary criteria and a diagnosis ex juvantibus. A possible approach would require patients to present with neck pain before or in close temporal relation with dizziness; that other causes should be made at least unlikely; and that treatment of a cervical dysfunction reduces also dizziness or balance disturbance.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
cervical, cervical dizziness, cervical pain, diagnosis, dizziness, therapy
in
Handbook of Clinical Neurology
volume
137
pages
5 pages
publisher
The Association for the Study of Animal Behaviour / Elsevier B.V.
external identifiers
  • scopus:84999663615
ISSN
22124152
00729752
DOI
10.1016/B978-0-444-63437-5.00026-1
language
English
LU publication?
yes
id
00c53ee2-039e-467e-aaf7-63d5de35bba1
date added to LUP
2016-12-30 13:10:26
date last changed
2017-07-23 05:22:47
@inbook{00c53ee2-039e-467e-aaf7-63d5de35bba1,
  abstract     = {<p>Cervicogenic or cervical dizziness is debated as an entity. However, there exists both a physiologic basis and a multitude of clinical data to make such a disease concept at least possible and worth considering. In addition, the interaction of proprioceptive and vestibular mechanisms may amplify dizziness of other origin. Cervical pain and dizziness are both common symptoms and may coincide, and neck pain or obvious dysfunction does not necessarily cause dizziness or balance disturbances. So far, there is also the lack of a proper diagnostic test for cervicogenic dizziness. On the other hand, there is growing evidence that cervical proprioceptive input is important for balance and postural control not only in animals but also in humans, and that intervention in disorders affecting the human cervical segment may relieve dizziness in some patients. It is advocated that the diagnosis should be used with care and that there is a need for better diagnostic tests. In the absence of such a test, one has to rely on preliminary criteria and a diagnosis ex juvantibus. A possible approach would require patients to present with neck pain before or in close temporal relation with dizziness; that other causes should be made at least unlikely; and that treatment of a cervical dysfunction reduces also dizziness or balance disturbance.</p>},
  author       = {Magnusson, Måns and Malmström, E. M.},
  issn         = {22124152},
  keyword      = {cervical,cervical dizziness,cervical pain,diagnosis,dizziness,therapy},
  language     = {eng},
  pages        = {365--369},
  publisher    = {The Association for the Study of Animal Behaviour / Elsevier B.V.},
  series       = {Handbook of Clinical Neurology},
  title        = {The conundrum of cervicogenic dizziness},
  url          = {http://dx.doi.org/10.1016/B978-0-444-63437-5.00026-1},
  volume       = {137},
  year         = {2016},
}