Nwaorgu O G, Onakaoya P A, Usman M A
Department of Otorhinolarygology, University College Hospital, Ibadan.
Niger J Med. 2003 Jul-Sep;12(3):140-4.
Cervical spine spondylotic changes are known to cause vertigo. The mechanism by which cervical vertigo is induced is very debatable. This study was to highlight the prevalence of vertigo and other vestibulocochlear organ affectation in patients with cervical spondylosis and to serve as a template for further research in this area.
A six-year retrospective review of vertiginous patients with radiological evidence of cervical spondylosis seen at the Otorhinolaryngology Clinic of University College Hospital (UCH), Ibadan.
Forty-three patients, 23 males (53.5%) and 20 females (46.5%) had vertigo as a symptom and radiological evaluation for cervical spondylosis. The radiological findings were normal in 11 patients (26%) and abnormal in 32 patients (74%). Of the twenty-five patients who had pure tone audiometry, 40% were normal and 60% abnormal. Out of 20 affected ears, seven patients (47%) had right, 3 patients (20%) left and 5 patients (33%) both ear involved respectively. High frequency range was affected in 8 (40%), low in 2 (10%) and all in 10 (50%) ears respectively. Decibel hearing level (dBHL) loss ranged from 30-90 dBHL with a mean binaural of 43 (+/- 8.5) dBHL.
We advocate early multidisciplinary approach in the management of all established cases of cervical vertigo.
已知颈椎的退行性改变会导致眩晕。颈椎性眩晕的诱发机制极具争议性。本研究旨在强调颈椎病患者中眩晕及其他前庭蜗器受累的患病率，并为该领域的进一步研究提供模板。
对在伊巴丹大学学院医院耳鼻喉科诊所就诊的有颈椎病放射学证据的眩晕患者进行为期六年的回顾性研究。
43例患者，23例男性（53.5%）和20例女性（46.5%）有眩晕症状并接受了颈椎病的放射学评估。11例患者（26%）放射学检查结果正常，32例患者（74%）异常。在25例接受纯音听力测定的患者中，40%正常，60%异常。在20只受累耳朵中，分别有7例患者（47%）右侧耳朵、3例患者（20%）左侧耳朵和5例患者（33%）双耳受累。高频范围受累的有8只耳朵（40%），低频的有2只耳朵（10%），全频受累的有10只耳朵（50%）。分贝听力损失范围为30 - 90分贝听力水平，双耳平均为43（±8.5）分贝听力水平。
我们提倡对所有确诊的颈椎性眩晕病例尽早采用多学科方法进行管理。
