Seifert K
HNO. 1987 Sep;35(9):363-71.
Some vertiginous lesions producing nystagmus (e.g. acute vestibulopathy, benign paroxysmal postural vertigo and Ménière's disease) are well-defined diseases of purely labyrinthine origin. The possible place of a functional disorder of the vertebral joints on their etiology and pathogenesis, has been discussed, but is purely hypothetical. Since the lesion almost always reaches with reduced function of the vestibular apparatus, the course of the disease depends crucially on central compensation of the peripheral disorder of vestibular function. Investigations of the effect of a functional disorder of the vertebral joints on the central compensation of vestibular functional disorders have not been described previously. Our own observations show that a functional disorder of the vertebral joints can crucially impair central compensation of peripheral vestibular vertigo. The pathological mechanism of the impaired compensation is discussed, and diagnostic and therapeutic consequences explained.
一些产生眼球震颤的眩晕性病变（如急性前庭病、良性阵发性位置性眩晕和梅尼埃病）是明确的、纯粹起源于迷路的疾病。关于椎体关节功能紊乱在其病因和发病机制中可能所起的作用，虽有过讨论，但纯属假设。由于病变几乎总是伴有前庭装置功能减退，疾病的病程关键取决于前庭功能外周紊乱的中枢代偿情况。此前尚未有关于椎体关节功能紊乱对前庭功能紊乱中枢代偿影响的研究报道。我们自己的观察表明，椎体关节功能紊乱会严重损害外周前庭性眩晕的中枢代偿。本文讨论了代偿受损的病理机制，并解释了诊断和治疗方面的影响。
