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cervicogenic vertigo

Pathology: - cervical spinal cord origin of vertigo Clinical manifestations: - vertigo with movement of neck - subacute onset of dizziness - manifestations of cervical spinal cord disease - positive Babinski sign - numbness & parethesias in fingers & toes - vibratory sensation may be diminished in toes - reflexes normal to brisk (hyperreflexia) - heaviness in legs - wide-based gait - +/- urinary incontinence, +/- constipation [1] Radiology: - MRI of cervical spine Differential diagnosis: - vitamin B12 deficiency - generally hyporeflexia rather than hyperreflexia - bowel & bladder function generally not involved

General

central vertigo cervical spine disease

References

  1. Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
  2. Thompson-Harvey A, Hain TC. Symptoms in cervical vertigo. Laryngoscope Investig Otolaryngol. 2018 Nov 28;4(1):109-115. PMID: 30828627 Free PMC Article
  3. Takahashi S. Importance of cervicogenic general dizziness. J Rural Med. 2018 May;13(1):48-56. PMID: 29875897 Free PMC Article
  4. Yaseen K, Hendrick P, Ismail A, Felemban M, Alshehri MA. The effectiveness of manual therapy in treating cervicogenic dizziness: a systematic review. J Phys Ther Sci. 2018 Jan;30(1):96-102. PMID: 29410575 Free PMC Article
  5. Reiley AS, Vickory FM, Funderburg SE et al How to diagnose cervicogenic dizziness. Arch Physiother. 2017 Sep 12;7:12. Review. PMID: 29340206 Free PMC Article