Chu Eric Chun Pu, Chin Wui Ling, Bhaumik Amiya
New York Chiropractic & Physiotherapy Center, New York Medical Group, Hong Kong, China.
Department of Health Science, Lincoln University College, Selangor Darul Ehsan, Malaysia.
Oxf Med Case Reports. 2019 Dec 9;2019(11):476-478. doi: 10.1093/omcr/omz115. eCollection 2019 Nov.
Cervical muscles have numerous connections with vestibular, visual and higher centres, and their interactions can produce effective proprioceptive input. Dysfunction of the cervical proprioception because of various neck problems can alter orientation in space and cause a sensation of disequilibrium. Cervicogenic dizziness (CGD) is a clinical syndrome characterized by the presence of dizziness and associated neck pain in patients with cervical pathology. Here, we report a 24-year-old female, who was diagnosed with CGD based on the correlating episodes of neck pain and dizziness. Both symptoms improved with targeted chiropractic adjustment and ultrasound therapy. CGD is a seemingly simple complaint for patients, but tends to be a controversial diagnosis because there are no specific tests to confirm its causality. For CGD to be considered, an appropriate management for the neck pain should not be denied any patient.
颈部肌肉与前庭、视觉及高级中枢有众多联系,它们之间的相互作用可产生有效的本体感觉输入。由于各种颈部问题导致的颈部本体感觉功能障碍会改变空间定向并引起失衡感。颈源性头晕(CGD)是一种临床综合征,其特征为患有颈部病变的患者出现头晕及相关颈部疼痛。在此,我们报告一名24岁女性,她根据颈部疼痛和头晕的相关发作被诊断为CGD。通过针对性的脊椎按摩调整和超声治疗,两种症状均有所改善。CGD对患者来说看似是个简单的病症,但往往是一个有争议的诊断,因为没有特定的检查来证实其因果关系。若考虑CGD,不应拒绝任何患者对颈部疼痛进行适当治疗。