Mahlstedt K, Westhofen M, König K
Klinik für Hals-Nasen-Ohrenkrankheiten, Universitäts-Krankenhauses Hamburg-Eppendorf.
Laryngorhinootologie. 1992 May;71(5):246-50. doi: 10.1055/s-2007-997289.
Cervicogenic vertigo is caused by functional disorders of the craniovertebral joints. Improvement of vertigonous symptoms by chiropractic treatment was often described. The therapeutic effect of chiropractic treatment in 28 patients with vertigo and purely functional disorders of the upper cervical spine or with a combination of functional disorders of the upper cervical spine and the labyrinth was evaluated. Improvement of vertigonous symptoms on patients with purely functional disorders of the craniovertebral joints as well as on patients with combined functional disorders of the craniovertebral joints and labyrinth could be seen. Two of the 28 patients showed persistent relief of symptoms and normalisation of cervical motility whereas the vestibular deficit persisted. One patient with persistent vestibular dysfunction showed recurrent malfunction of the upper cervical spine and vertigo. In our opinion chiropractic treatment is mandatory for the therapy of patients with vestibular affections and functional disorders of the craniovertebral joints.
颈源性眩晕由颅颈关节功能紊乱引起。整脊治疗改善眩晕症状的情况屡有报道。对28例患有眩晕且存在单纯上颈椎功能紊乱或合并上颈椎与迷路功能紊乱的患者，评估了整脊治疗的疗效。可以看到，颅颈关节单纯功能紊乱的患者以及颅颈关节与迷路合并功能紊乱的患者，其眩晕症状均有改善。28例患者中有2例症状持续缓解，颈部活动恢复正常，但前庭功能缺损依然存在。1例前庭功能持续障碍的患者，上颈椎反复出现功能异常并伴有眩晕。我们认为，对于患有前庭疾病和颅颈关节功能紊乱的患者，整脊治疗是必不可少的。
