The conundrum of cervicogenic dizziness

Research output: Chapter in Book/Report/Conference proceedingBook chapter

Standard

The conundrum of cervicogenic dizziness. / Magnusson, Måns; Malmström, E. M.

Handbook of Clinical Neurology. Vol. 137 The Association for the Study of Animal Behaviour / Elsevier B.V., 2016. p. 365-369 (Handbook of Clinical Neurology; Vol. 137).

Research output: Chapter in Book/Report/Conference proceedingBook chapter

Harvard

Magnusson, M & Malmström, EM 2016, The conundrum of cervicogenic dizziness. in Handbook of Clinical Neurology. vol. 137, Handbook of Clinical Neurology, vol. 137, The Association for the Study of Animal Behaviour / Elsevier B.V., pp. 365-369. https://doi.org/10.1016/B978-0-444-63437-5.00026-1

APA

Magnusson, M., & Malmström, E. M. (2016). The conundrum of cervicogenic dizziness. In Handbook of Clinical Neurology (Vol. 137, pp. 365-369). (Handbook of Clinical Neurology; Vol. 137). The Association for the Study of Animal Behaviour / Elsevier B.V.. https://doi.org/10.1016/B978-0-444-63437-5.00026-1

CBE

Magnusson M, Malmström EM. 2016. The conundrum of cervicogenic dizziness. In Handbook of Clinical Neurology. The Association for the Study of Animal Behaviour / Elsevier B.V. pp. 365-369. (Handbook of Clinical Neurology). https://doi.org/10.1016/B978-0-444-63437-5.00026-1

MLA

Magnusson, Måns and E. M. Malmström "The conundrum of cervicogenic dizziness". Handbook of Clinical Neurology. Handbook of Clinical Neurology. The Association for the Study of Animal Behaviour / Elsevier B.V. 2016, 365-369. https://doi.org/10.1016/B978-0-444-63437-5.00026-1

Vancouver

Magnusson M, Malmström EM. The conundrum of cervicogenic dizziness. In Handbook of Clinical Neurology. Vol. 137. The Association for the Study of Animal Behaviour / Elsevier B.V. 2016. p. 365-369. (Handbook of Clinical Neurology). https://doi.org/10.1016/B978-0-444-63437-5.00026-1

Author

Magnusson, Måns ; Malmström, E. M. / The conundrum of cervicogenic dizziness. Handbook of Clinical Neurology. Vol. 137 The Association for the Study of Animal Behaviour / Elsevier B.V., 2016. pp. 365-369 (Handbook of Clinical Neurology).

RIS

TY - CHAP

T1 - The conundrum of cervicogenic dizziness

AU - Magnusson, Måns

AU - Malmström, E. M.

PY - 2016

Y1 - 2016

N2 - Cervicogenic or cervical dizziness is debated as an entity. However, there exists both a physiologic basis and a multitude of clinical data to make such a disease concept at least possible and worth considering. In addition, the interaction of proprioceptive and vestibular mechanisms may amplify dizziness of other origin. Cervical pain and dizziness are both common symptoms and may coincide, and neck pain or obvious dysfunction does not necessarily cause dizziness or balance disturbances. So far, there is also the lack of a proper diagnostic test for cervicogenic dizziness. On the other hand, there is growing evidence that cervical proprioceptive input is important for balance and postural control not only in animals but also in humans, and that intervention in disorders affecting the human cervical segment may relieve dizziness in some patients. It is advocated that the diagnosis should be used with care and that there is a need for better diagnostic tests. In the absence of such a test, one has to rely on preliminary criteria and a diagnosis ex juvantibus. A possible approach would require patients to present with neck pain before or in close temporal relation with dizziness; that other causes should be made at least unlikely; and that treatment of a cervical dysfunction reduces also dizziness or balance disturbance.

AB - Cervicogenic or cervical dizziness is debated as an entity. However, there exists both a physiologic basis and a multitude of clinical data to make such a disease concept at least possible and worth considering. In addition, the interaction of proprioceptive and vestibular mechanisms may amplify dizziness of other origin. Cervical pain and dizziness are both common symptoms and may coincide, and neck pain or obvious dysfunction does not necessarily cause dizziness or balance disturbances. So far, there is also the lack of a proper diagnostic test for cervicogenic dizziness. On the other hand, there is growing evidence that cervical proprioceptive input is important for balance and postural control not only in animals but also in humans, and that intervention in disorders affecting the human cervical segment may relieve dizziness in some patients. It is advocated that the diagnosis should be used with care and that there is a need for better diagnostic tests. In the absence of such a test, one has to rely on preliminary criteria and a diagnosis ex juvantibus. A possible approach would require patients to present with neck pain before or in close temporal relation with dizziness; that other causes should be made at least unlikely; and that treatment of a cervical dysfunction reduces also dizziness or balance disturbance.

KW - cervical

KW - cervical dizziness

KW - cervical pain

KW - diagnosis

KW - dizziness

KW - therapy

UR - http://www.scopus.com/inward/record.url?scp=84999663615&partnerID=8YFLogxK

U2 - 10.1016/B978-0-444-63437-5.00026-1

DO - 10.1016/B978-0-444-63437-5.00026-1

M3 - Book chapter

VL - 137

T3 - Handbook of Clinical Neurology

SP - 365

EP - 369

BT - Handbook of Clinical Neurology

PB - The Association for the Study of Animal Behaviour / Elsevier B.V.

ER -