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Cervical vertigo and cervical spondylosis--a need for adequate evaluation
O G Nwaorgu1, P A Onakaoya, M A Usman
1Department of Otorhinolarygology, University College Hospital, Ibadan.
Summary
Cervical spondylosis frequently causes vertigo and hearing issues. Early multidisciplinary management is recommended for patients with cervical vertigo.
Area of Science:
- Otorhinolaryngology
- Neurology
- Radiology
Background:
- Cervical spine spondylosis is associated with vertigo, though the exact mechanism remains debated.
- This study investigates the prevalence of vertigo and vestibulocochlear dysfunction in patients with cervical spondylosis.
Purpose of the Study:
- To determine the prevalence of vertigo in patients with cervical spondylosis.
- To assess the extent of vestibulocochlear organ involvement in these patients.
- To provide a foundation for future research on cervical vertigo.
Main Methods:
- A six-year retrospective review was conducted.
- Patients with vertigo and radiological evidence of cervical spondylosis were included.
- Data from the Otorhinolaryngology Clinic of University College Hospital (UCH), Ibadan, were analyzed.
Main Results:
- Out of 43 patients with vertigo and cervical spondylosis, 74% showed abnormal radiological findings.
- Pure tone audiometry revealed abnormalities in 60% of patients.
- Hearing loss varied, with a mean binaural loss of 43 dBHL, affecting high frequencies most commonly.
Conclusions:
- Cervical spondylosis significantly impacts vestibulocochlear function.
- An early multidisciplinary approach is advocated for managing cervical vertigo.
- Further research is warranted to elucidate the mechanisms and optimize treatment.