How to diagnose cervicogenic dizziness

Area of Science:

• Neurology
• Otolaryngology
• Physical Therapy

Background:

• Cervicogenic dizziness (CGD) presents with dizziness and neck pain.
• CGD is a diagnosis of exclusion due to the lack of definitive diagnostic tests.
• Differentiating CGD from other vestibular, medical, and vascular disorders is challenging for clinicians.

Purpose of the Study:

• To provide a systematic diagnostic approach for healthcare providers to accurately diagnose CGD.
• To outline a stepwise evaluation process for potential CGD cases.
• To detail methods for excluding conditions that mimic CGD symptoms.

Main Methods:

• Systematic literature review of diagnostic criteria and clinical evaluations for CGD.
• Development of a stepwise diagnostic algorithm for CGD.
• Identification and description of differential diagnoses presenting with dizziness.

Main Results:

• A structured diagnostic pathway for CGD is presented.
• Key steps to differentiate CGD from vestibular migraine, labyrinthine concussion, cervical arterial dysfunction, and whiplash-associated disorder are outlined.
• Emphasis on the importance of excluding other conditions in CGD diagnosis.

Conclusions:

• Accurate CGD diagnosis requires a systematic approach and exclusion of competing diagnoses.
• The proposed diagnostic strategy aims to improve clinical accuracy in identifying CGD.
• Further research may refine diagnostic criteria and management strategies for CGD.