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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 13. no 1. March 2014  

Ewa Zamysłowska-Szmytke, Tomasz Adamczewski Jarosław Ziąber, Joanna Majak

Cervical vertigo (CV) is defined as vertigo or dizziness due to
neck disorders.
This paper presents the clinical picture and the results of
examinations of three patients who have been referred to the
Department of Audiology and Phoniatrics in Łódź for dizziness
of unknown etiology. The clinical picture of the patients seemed
to vary, from central dizziness to vestibular vertigo. The history,
medical examination and videonystagmography tests helped to
exclude the vestibular contribution, neurological examination
and magnetic resonance were used to exclude the neurological
reasons. Asymmetry of C1-C2 junction observed in open mouth
X-ray was the common findings in the symptomatic patients. After
a more accurate diagnosis and analysis of functional tests, in
each of the persons we observed abnormal blood flow of varying
intensity in the vertebral and basilar arteries and dysregulation
of vestibulo-oculomotor and cervico-oculomotor reflexes.
Atlanto-axial junction functional abnormalities might be one
of the reasons of the increased proproceptive stimulation and
hemodynamic abnormalities in cerebellar or pontine flow, which
may underlie the symptoms in those patients. Study involving a
larger group of subjects, and most of all studies using functional
angiography could explain the significance of the vascular components
in those individuals. Physiotherapy treatment intended
to improve the vertebral function will possibly enable to assess
the effect of those changes on the reported abnormalities and
explain the mechanisms of cervical vertigo.

keywords: szyjne zawroty głowy, cervical vertigo, dizziness

pages: from 58 to 58

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