Dizziness of Cervical Origin


Overview

Articles

(1)

Review Sections

(10)
Dizziness of Cervical Origin Icon    Dizziness of Cervical Origin

Cervicogenic vertigo (CV) remains a somewhat controversial diagnosis as some physicians do not recognize it as a clinical entity. Yet there is ample evidence to suggest altered afferent input from the neck can give rise to “altered orientation in space and disequilibrium” (1). Generally speaking any process that disrupts afferent input such as whiplash injury or cervical spondylosis can result in CV. Up to 58% of individuals with whiplash injury report dizziness (2).

(1) Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther 2000; 30(12):755-766.; (2) Reid SA, Rivett DA. Manual therapy treatment of cervicogenic dizziness: a systematic review. Man Ther 2005; 10(1):4-13.

Clinical Reviews

Dizziness of Cervical Origin: Prevention



The diagnosis of cervicogenic vertigo has not been accepted universally within the healthcare community and others feel vertigo itself has been poorly defined in the literature. Rather than argue semantics, for the purpose of this paper, the term dizziness of cervical origin (DCO) will be used to describe what is commonly referred to as cervicogenic vertigo. It has been clearly established in the scientific literature that there is significant afferent input from the mechanoreceptors in the cervical spine and surrounding soft tissue and these afferent impulses play an important role in proprioception. It has been postulated that disturbed afferent input, due to injury, reduces joint position sense, an essential component of proprioception. Clinically, dizziness and light headedness are often seen in the physician’s office as a result of whiplash injury. Additionally these symptoms are a relatively common presenting complaint in the chiropractor’s office, regardless of etiology and, based on clinical evidence, respond well to spinal manipulation. For the purpose of this paper cervicogenic vertigo and DCO will be considered interchangeable terms and a valid clinical diagnosis.

Dizziness of Cervical Origin: Diagnosis



It is important for the physician to recognize vertigo/dizziness that may indicate a potentially life-threatening condition from a more benign condition. Although a discussion on vertigo in general is beyond the scope of this paper, an excellent review outlining proper steps to diagnosis can be found in an article by Labuguen in the American Family Physician.

Dizziness of Cervical Origin: Therapy



Only two interventions for the treatment of dizziness of cervical origin (DCO) have been explored in multiple studies. Information on interventions beyond proprioceptive-exercise training and manual therapy is sparse in the scientific literature.

Medical Subject Heading (MeSH) Information

MeSH Term: Vertigo

Scope Note: An illusion of movement, either of the external world revolving around the individual or of the individual revolving in space. Vertigo may be associated with disorders of the inner ear (EAR, INNER); VESTIBULAR NERVE; BRAINSTEM; or CEREBRAL CORTEX. Lesions in the TEMPORAL LOBE and PARIETAL LOBE may be associated with FOCAL SEIZURES that may feature vertigo as an ictal manifestation. (From Adams et al., Principles of Neurology, 6th ed, pp300-1)

MeSH Synonyms:
  • Vertigo
  • Vertigos
  • Vertigo, Subjective
  • Subjective Vertigo
  • Subjective Vertigos
  • Vertigos, Subjective
  • Spinning Sensation
  • Sensation, Spinning
  • Sensations, Spinning
  • Spinning Sensations
  • Positional Vertigo
  • Vertigo, Positional
  • Vertigo, Brain Stem
  • Brain Stem Vertigo
  • Brain Stem Vertigos
  • Vertigos, Brain Stem
  • Vertigo, Brainstem
  • Brainstem Vertigo
  • Brainstem Vertigos
  • Vertigos, Brainstem
  • Vertigo, Peripheral
  • Peripheral Vertigo
  • Peripheral Vertigos
  • Vertigos, Peripheral
  • Vertigo, Essential
  • Essential Vertigo
  • Essential Vertigos
  • Vertigos, Essential
  • Vertigo, Intermittant
  • Intermittant Vertigo
  • Intermittant Vertigos
  • Vertigos, Intermittant
  • Vertigo, Paroxysmal
  • Paroxysmal Vertigo
  • Paroxysmal Vertigos
  • Vertigos, Paroxysmal
  • Central Nervous System Origin Vertigo
  • Vertigo, Central Origin
  • Central Origin Vertigo
  • Central Origin Vertigos
  • Origin Vertigo, Central
  • Origin Vertigos, Central
  • Vertigos, Central Origin
  • CNS Origin Vertigo
  • CNS Origin Vertigos
  • Origin Vertigo, CNS
  • Origin Vertigos, CNS
  • Vertigo, CNS Origin
  • Vertigos, CNS Origin
  • Vertigo, Central Nervous System Origin
  • Vertigo, Constant
  • Constant Vertigo
  • Constant Vertigos
  • Vertigos, Constant
Applicable MeSH Subheadings:
  • analysis
  • anatomy and histology
  • blood
  • cerebrospinal fluid
  • chemically induced
  • classification
  • complications
  • congenital
  • diagnosis
  • diagnostic imaging
  • diet therapy
  • drug therapy
  • economics
  • enzymology
  • epidemiology
  • ethnology
  • etiology
  • genetics
  • history
  • immunology
  • metabolism
  • microbiology
  • mortality
  • nursing
  • organization and administration
  • parasitology
  • pathology
  • physiology
  • physiopathology
  • prevention and control
  • psychology
  • radiotherapy
  • rehabilitation
  • statistics and numerical data
  • surgery
  • therapy
  • veterinary
  • virology
See Related MeSH Terms:

Informative Links

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MayoClinic.com Benign Paroxysmal Positional Vertigo (BPPV) Information



Mayo Clinic Health Solutions' award-winning consumer Web site offers health information and self-improvement tools. MayoClinic.com's medical experts and editorial professionals bring you access to the knowledge and experience of Mayo Clinic for all your consumer health information needs, from cancer, diabetes and heart disease to nutrition, exercise and pregnancy.
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MayoClinic.com Dizziness Information



Mayo Clinic Health Solutions' award-winning consumer Web site offers health information and self-improvement tools. MayoClinic.com's medical experts and editorial professionals bring you access to the knowledge and experience of Mayo Clinic for all your consumer health information needs, from cancer, diabetes and heart disease to nutrition, exercise and pregnancy.
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MedlinePlus: Dizziness and Vertigo



MedlinePlus will direct you to information to help answer health questions. MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations.
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Wikipedia: Vertigo



From Wikipedia, the free encyclopedia

Current Clinical Trials Relating to  Vertigo

ClinicalTrials.gov: Provides patients, family members, and members of the public easy and free access to information on clinical studies for a wide range of diseases and conditions.

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Chuna Manual Therapy for Cervicogenic Dizziness


(Status: Not yet recruiting)

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Effect of V0251 in Acute Vertigo


(Status: Completed)

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Vestibular Rehabilitation and Dizziness


(Status: Active, not recruiting)

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Wii Balance Board in Dizziness


(Status: Withdrawn)

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Stationary Bike Study


(Status: Recruiting)

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Cochlear Implant and Vestibular Function.


(Status: Unknown status)

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Sildenafil For Meniere's Disease


(Status: Completed)

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Otolith Dysfunction


(Status: Recruiting)

100 Clinical Trials Returned