Revisión sobre el vértigo cervical

Introduction and objective: Currently remains the debate on cervical origin dizziness. In this narrative review, we outline the pathophysiological mechanism that attempt to explain this syndrome to understand its clinical manifestations and facilitate the diagnostic and therapeutic orientation of pa...

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Detalhes bibliográficos
Autores: Valda Rodrigo, José, Benito Orejas, José Ignacio, Alonso Vielba, José
Tipo de documento: artigo
Data de publicação:2018
País:España
Recursos:Universidad de Salamanca (USAL)
Repositório:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/137850
Acesso em linha:http://hdl.handle.net/10366/137850
Access Level:Acceso aberto
Palavra-chave:Otorrinolaringología
nariz
garganta
oídos
Audiología y otología
sordera
Otorhinolaryngology
ENT
Audiology and otology
deafness
Descrição
Resumo:Introduction and objective: Currently remains the debate on cervical origin dizziness. In this narrative review, we outline the pathophysiological mechanism that attempt to explain this syndrome to understand its clinical manifestations and facilitate the diagnostic and therapeutic orientation of patients. Method: narrative review. Results: We will consider that a patient with neck pain and dizziness/imbalance has vertigo cervical, if other causes have been eliminated (neurological, vestibular, psychosomatic) and, above all, if responding to the cervical physiotherapy with reducing pain and dizziness. Depending on your medical history, will focus the explorations towards the study of the blood flow of the vertebral arteries, oculomotor findings, postural control and observation of the cervical kinesthesia sense. Discussion: The controversy over cervicogenic dizziness is due in large part to the lack of a specific laboratory test confirming the diagnosis to us. Conclusions: Before a patient with suspected symptoms of cervical vertigo and once discarded other causes, we will initiate a treatment, even if we ignore the underlying mechanisms.