Analysis Of Cervical Vertigo Case Report And Literature Review

Introduct ion:The presence of cervical vert igo retains controversy. While it was over emphasised in the past, it is overlooked nowadays, and it seems to combine elements of myth and reality. Common causes include structure or function abnormalities of bones, muscles, ligaments, vertebral artery around the neck. The pathogenesis of cervical vertigo remains unclear, including Proprioceptive conduction abnormalities, Vertebrobasilar insufficiency, autonomic dysfunction may be involved in pathogenicity. But none of them can independent ly interpretation of the clinical features of cervical vertigo. Through classify and organizing the most important aspects of cervical vertigo from a historical, pathophysiological, clinical, and therapeutic point of view in the literatures, we know that cervical vertigo is caused by neck disorders with autonomic dysfunction, may be associated with nystagmus, balance disorders nausea, heart palpitations, and other characteristics of autonomic dysfunction, more induced by rotation or stretching the neck. There is no study can prove a single pathogenic mechanism of "cervical vertigo", we should focus on how the autonomic nervous system involved in the pathogenic ity of cervical vertigo, and how to separation or confirm the formation of these major factors including the autonomic nervous system, the proprioceptive balance control system and circulatory system. Researchers need to carefully start from each clinical data, working closely with the ENT, neurology, cardiovascular and other associated disciplines, the best way of study the pathogenesis of cervical vertigo is to joint investigate. Case:Female patient aged51, diplopia was surprised to discovered by herself in2009, and reading for a long time can induced eye soreness, dryness pain without dizziness, nausea and palpitation. From this time she cannot be normally reading newspapers, and using the phone and computer, but wi th no emphasison treatment because of thinking presbyopia by herself. October2011, appearing paroxysmal dizziness, attack more than10times a day, with nausea, heart palpitations, higher-than-normal blood pressure, without vomiting, headaches, tinnitus, deafness and other symptoms, the symptoms can relieve itself after a few minutes. Tongrcn Hospital, Department of Neurology, have the previously diagnosis of "cerebral insufficiency" and treat with improving the blood’s circulation, whitch did not working. Tiantan Hospital, Department of neurology excluded the cerebral infarction diagnosis by MRA. Introduction to our hospital, the patient diagnosed as "cervical vert igo" in our spine surgery clinic, symptoms completely disappeared after the anterior cervical discectomy (C5-6). Track follow-up for17months, the patients did not recur in phenomena such as dizziness, nausea, and diplopia.