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The conundrum of cervicogenic dizziness
1Department of Otorhinolaryngology, Lund University, Skane University Hospital, Lund, Sweden.
Handbook of Clinical Neurology
|September 18, 2016
Summary
Cervicogenic dizziness, linked to neck issues, is a possible condition. While debated, evidence suggests neck proprioception impacts balance, and treating neck dysfunction may alleviate dizziness.
Area of Science:
- Neurology
- Otolaryngology
- Physical Therapy
Background:
- Cervicogenic dizziness is a debated clinical entity.
- Neck pain and dizziness frequently coexist but are not always causally linked.
- Cervical proprioception plays a role in human balance and postural control.
Purpose of the Study:
- To explore the evidence supporting cervicogenic dizziness as a distinct condition.
- To discuss the interplay between cervical input and vestibular mechanisms in dizziness.
- To highlight the need for improved diagnostic criteria and tests for cervicogenic dizziness.
Main Methods:
- Review of existing literature on cervicogenic dizziness, proprioception, and balance.
- Analysis of clinical data linking cervical dysfunction to dizziness.
- Discussion of diagnostic challenges and preliminary diagnostic approaches.
Main Results:
- Physiologic basis and clinical data suggest cervicogenic dizziness is plausible.
- Cervical proprioceptive input is crucial for balance and postural control.
- Intervention for cervical disorders may relieve dizziness in some patients.
Conclusions:
- Cervicogenic dizziness warrants consideration despite diagnostic challenges.
- Diagnosis requires careful application of preliminary criteria and therapeutic response (ex juvantibus).
- Further research is needed for definitive diagnostic tests.
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