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Case Reports
. 2019 Dec 9;2019(11):476-478.
doi: 10.1093/omcr/omz115. eCollection 2019 Nov.

Cervicogenic dizziness

Affiliations
Case Reports

Cervicogenic dizziness

Eric Chun Pu Chu et al. Oxf Med Case Reports. .

Abstract

Cervical muscles have numerous connections with vestibular, visual and higher centres, and their interactions can produce effective proprioceptive input. Dysfunction of the cervical proprioception because of various neck problems can alter orientation in space and cause a sensation of disequilibrium. Cervicogenic dizziness (CGD) is a clinical syndrome characterized by the presence of dizziness and associated neck pain in patients with cervical pathology. Here, we report a 24-year-old female, who was diagnosed with CGD based on the correlating episodes of neck pain and dizziness. Both symptoms improved with targeted chiropractic adjustment and ultrasound therapy. CGD is a seemingly simple complaint for patients, but tends to be a controversial diagnosis because there are no specific tests to confirm its causality. For CGD to be considered, an appropriate management for the neck pain should not be denied any patient.

Keywords: cervical proprioception; cervicogenic dizziness; chiropractic adjustment; neck pain.

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Figures

Figure 1
Figure 1
Initial radiograph showed evidence of degenerative cervical spondylosis, corresponding forward head posture and reverse lordosis (kyphosis) of the cervical spine (left). At the 7-month follow-up, there was significant improvement in the curvature of the cervical spine and in Cobb’s angle for measuring cervical lordosis (right).

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