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Approach to Cervicogenic Dizziness: A Comprehensive Review of its Aetiopathology and Management

By |December 26, 2019|Cervicogenic Dizziness|

Approach to Cervicogenic Dizziness: A Comprehensive Review of its Aetiopathology and Management

The Chiro.Org Blog


SOURCE:   Eur Arch Otorhinolaryngol. 2018 (Oct)

K. Devaraja

Department of Otorhinolaryngology,
Kasturba Medical College,
Manipal Academy of Higher Education,
Manipal, Udupi, Karnataka, 576104, India.


PURPOSE:   Though there is abundant literature on cervicogenic dizziness with at least half a dozen of review articles, the condition remains to be enigmatic for clinicians dealing with the dizzy patients. However, most of these studies have studied the cervicogenic dizziness in general without separating the constitute conditions. Since the aetiopathological mechanism of dizziness varies between these cervicogenic causes, one cannot rely on the universal conclusions of these studies unless the constitute conditions of cervicogenic dizziness are separated and contrasted against each other.

METHODS:   This narrative review of recent literature revisits the pathophysiology and the management guidelines of various conditions causing the cervicogenic dizziness, with an objective to formulate a practical algorithm that could be of clinical utility. The structured discussion on each of the causes of the cervicogenic dizziness not only enhances the readers’ understanding of the topic in depth but also enables further research by identifying the potential areas of interest and the missing links.

RESULTS:   Certain peculiar features of each condition have been discussed with an emphasis on the recent experimental and clinical studies. A simple aetiopathological classification and a sensible management algorithm have been proposed by the author, to enable the identification of the most appropriate underlying cause for the cervicogenic dizziness in any given case. However, further clinical studies are required to validate this algorithm.

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Cervicogenic Dizziness

By |December 26, 2019|Cervicogenic Dizziness|

Cervicogenic Dizziness

The Chiro.Org Blog


SOURCE:   Oxford Medical Case Reports 2019 (Dec 9)

Julie C. Kendall, Simon D. French, Jan Hartvigsen, and Michael F. Azari

New York Chiropractic & Physiotherapy Center,
New York Medical Group


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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