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Related Experiment Video

Updated: Jun 11, 2026

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Published on: August 30, 2019

Acute vertigo following cervical manipulation.

Yi-Ho Young¹, Chia-Hung Chen

¹Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. Youngyh@ha.mc.ntu.edu.tw

The Laryngoscope

|April 3, 2003

Summary

This summary is machine-generated.

Cervical manipulation can cause acute vertigo, particularly when central signs or vertebral artery issues are present. Early treatment with dextran can resolve vertigo without neurological deficits.

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Area of Science:

Neurology
Vascular Medicine

Background:

Cervical manipulation by chiropractors or herbalists can precipitate vertigo.
Understanding the risks associated with cervical manipulation is crucial.

Observation:

A retrospective study analyzed nine patients experiencing acute vertigo post-cervical manipulation.
Patients underwent comprehensive vestibular testing and vascular imaging.

Findings:

Vertigo onset occurred within 17 hours on average.
Electronystagmography showed central signs in all patients.
Vertebral artery abnormalities (occlusion, stenosis, slow flow) were found in three patients.
All patients recovered from vertigo without neurological deficits after dextran treatment.

Implications:

Cervical manipulation carries risks, especially if central signs or vertebral artery compromise are detected.
The potential morbidity of cervical vessels must be weighed against therapeutic benefits.
Diagnostic imaging is essential for patients with vertigo after cervical manipulation.