Zeigelboim Bianca Simone, Fonseca Vinicius Ribas, Mesti Juliana Cristina, Gorski Leslie Palma, Faryniuk João Henrique, Marques Jair Mendes
Department of Otoneurology, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil.
Department of Otoneurology, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil; Department of Otorhinolaryngology, Hospital da Cruz Vermelha, Curitiba, PR, Brazil.
Int Arch Otorhinolaryngol. 2016 Apr;20(2):109-13. doi: 10.1055/s-0036-1572563. Epub 2016 Mar 1.
Introduction The cervical spine is a flexible link between the sensory platform of the skull and torso. The fundamental principle of its operation is due to the balance between muscle strength and flexibility, and any dysfunction of this balance causes neck pain, known as cervicalgia. Objective The objective of this study is to analyze the most prevalent neurotological findings in adults with neck pain. Method A cross-sectional study in which 33 adults from 50 to 83 years of age with neck pain were evaluated and underwent the following procedures: anamnesis, as well as ENT, audiological, and vestibular exams. Results The most evident neurotological symptoms were dizziness (75.7%), tinnitus, neck cracking, tingling in the extremities, and auditory problems (36.3% for each). The most frequently reported clinical symptoms were related to cardiovascular (69.7%), endocrine-metabolic (48.5%), and rheumatic (30.3%) systems. In the audiological assessment, 30 subjects (91.0%) presented hearing impairment in at least one ear, with sensorineural impairment being the most prevalent (88.0%). In the vestibular assessment, there were alterations in 13 subjects (39.0%) found in the caloric test. There was a prevalence of alterations in the peripheral vestibular system with a predominance of irritative peripheral vestibular dysfunction. Conclusion Neurotological complaints were frequent in this population, verifying the importance of these tests in the dysfunctions of the cervical region or the craniocervical junction.
颈椎是颅骨与躯干感觉平台之间的灵活连接部位。其运作的基本原理在于肌肉力量与灵活性之间的平衡，而这种平衡的任何功能障碍都会导致颈部疼痛，即颈痛。目的：本研究的目的是分析成年颈部疼痛患者中最常见的神经耳科学表现。方法：一项横断面研究，对33名年龄在50至83岁之间的颈部疼痛成年人进行评估，并进行以下检查：问诊，以及耳鼻喉科、听力学和前庭检查。结果：最明显的神经耳科学症状是头晕（75.7%）、耳鸣、颈部弹响、肢体刺痛和听觉问题（各占36.3%）。最常报告的临床症状与心血管系统（69.7%）、内分泌代谢系统（48.5%）和风湿系统（30.3%）有关。在听力学评估中，30名受试者（91.0%）至少一只耳朵存在听力障碍，其中感音神经性障碍最为常见（88.0%）。在前庭评估中，13名受试者（39.0%）在冷热试验中发现有异常。外周前庭系统异常较为普遍，以刺激性外周前庭功能障碍为主。结论：该人群中神经耳科学主诉较为常见，证实了这些检查在颈椎区域或颅颈交界处功能障碍中的重要性。
