Wydawnictwo Medyczne Mediton
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the Polish Society of Audiology and Phoniatrics

 

Case study

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Atlanto-axial rotation as a possible cause of cervical vertigo
Ewa Zamysłowska-Szmytke 1/, Tomasz Adamczewski 2/, Jarosław Ziąber 3/, Joanna Majak 1/
  • 1/ Klinika Audiologii i Foniatrii, Instytut Medycyny Pracy w Łodzi
  • 2/ Klinika Rehabilitacji, Wojewódzkie Centrum Ortopedii i Rehabilitacji Narządu Ruchu im. dr Z. Radlińskiego w Łodzi
  • 3/ Centrum Medyczne Szpital Świętej Rodziny w Łodzi

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.

Otorynolaryngologia vol 13. no 1. Marchpages: from 58to 65
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