cervical vertigo
Introduction
Introduction Cervical vertigo refers to the qualitative or functional changes in the cervical vertebrae and related soft tissues (joint capsules, ligaments, nerves, blood vessels, muscles, etc.). Cervical vertigo is caused by abnormal impulses from the upper cervical vertebrae to the vestibular nucleus.
Cause
Cause
Caused by cervical vertigo:
1, cervical vertebrae damage
Such as cervical degenerative changes in bone hyperplasia inflammation, trauma and so on.
2, neck soft tissue lesions
Such as cervical muscle injury, rheumatic cervical myositis, neck joint capsule swelling, trauma, disc herniation, ligament damage, radiculitis, nerve root damage.
3, cervical stagnation
For cervical spondylolysis. Symptoms caused by nociceptive reflexes after exercise restriction, due to excessive or improper cervical load.
Examine
an examination
Related inspection
Cervical vein test, neck test, periosteal reflex, cervical CT examination
an examination
1. At the time of examination, the frontal spinous process, the interspinous process, the transverse process, the paraspinal muscles, the lower part of the occipital trochanter, and the upper part of the scapula are tender, tense, hard or indurated. Even when the patient presses a certain part overnight, there may be dizziness and nystagmus or vertigo in the cervical vertebrae, and the head and neck movements are limited.
2, neck twist test and cervical shock test can be positive.
3, other astigmatism electroencephalogram examination can be no abnormalities, or head ocular nystagmus, juveniles can have enhanced cold and heat test.
Diagnosis
Differential diagnosis
"Neck vertigo" Chinese medicine called "Xing Yu", which has the meaning of blocking. Clinical symptoms are generally dizziness, nausea, vomiting, tinnitus, unclear vision, etc. The most prominent feature is postural vertigo, which is when the position is changed, especially when the head is twisted. The vertigo is aggravated. In severe cases, it can be tripped, but generally not accompanied. Consciousness disorder. In addition, vertebral artery and sympathetic nerve are parallel, so vertebral artery type cervical spondylosis is often accompanied by some sympathetic symptoms, such as pseudo-angina, myocardial ischemia, sweat gland secretion disorder, local body or half body sweating or less sweat, digestion Dysfunction and other symptoms. Cervical vertigo is generally not difficult to diagnose. According to the characteristics of the symptoms, supplemented by X-ray film, CT film and brain ultrasound, it is not difficult to diagnose the disease. Cervical spondylosis produces two kinds of conditions: one is the mechanical compression of the push artery by the spur, and the stenosis or occlusion occurs. When the push artery itself has lesions, the compression is more likely to occur; the second is that the cervical sympathetic nerve is stimulated. Causes arterial spasm. A prerequisite for both of these conditions is that the head and neck must be turned to a position where the thrust artery is compressed or the sympathetic nerve is stimulated. In short, the onset of vertigo is clearly related to the position of the head, called positional vertigo.
