Vertigo in Patients with Degenerative Cervical Myelopathy

J 2021

Vertigo in Patients with Degenerative Cervical Myelopathy

KADAŇKA, Zdeněk, Zdeněk KADAŇKA, René JURA a Josef BEDNAŘÍK

Základní údaje

Originální název

Vertigo in Patients with Degenerative Cervical Myelopathy

Autoři

KADAŇKA, Zdeněk (203 Česká republika, garant, domácí), Zdeněk KADAŇKA (203 Česká republika, domácí), René JURA (203 Česká republika, domácí) a Josef BEDNAŘÍK (203 Česká republika, domácí)

Vydání

Journal of Clinical Medicine, Basel, MDPI, 2021, 2077-0383

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 4.964

Kód RIV

RIV/00216224:14110/21:00120103

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.3390/jcm10112496

UT WoS

000660154000001

Klíčová slova anglicky

cervical vertigo; cervical dizziness; degenerative cervical myelopathy; degenerative cervical spinal cord compression; cervical torsion test

Štítky

14110221, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 10. 12. 2021 14:01, Mgr. Tereza Miškechová

Anotace

V originále

(1) Background: Cervical vertigo (CV) represents a controversial entity, with a prevalence ranging from reported high frequency to negation of CV existence. (2) Objectives: To assess the prevalence and cause of vertigo in patients with a manifest form of severe cervical spondylosis–degenerative cervical myelopathy (DCM) with special focus on CV. (3) Methods: The study included 38 DCM patients. The presence and character of vertigo were explored with a dedicated questionnaire. The cervical torsion test was used to verify the role of neck proprioceptors, and ultrasound examinations of vertebral arteries to assess the role of arteriosclerotic stenotic changes as hypothetical mechanisms of CV. All patients with vertigo underwent a detailed diagnostic work-up to investigate the cause of vertigo. (4) Results: Symptoms of vertigo were described by 18 patients (47%). Causes of vertigo included: orthostatic dizziness in eight (22%), hypertension in five (14%), benign paroxysmal positional vertigo in four (11%) and psychogenic dizziness in one patient (3%). No patient responded positively to the cervical torsion test or showed significant stenosis of vertebral arteries. (5) Conclusions: Despite the high prevalence of vertigo in patients with DCM, the aetiology in all cases could be attributed to causes outside cervical spine and related nerve structures, thus confirming the assumption that CV is over-diagnosed.

Návaznosti

MUNI/A/1600/2020, interní kód MU

Název: Diagnostika a patofyziologie neuropatické bolesti (Akronym: PNB)

Investor: Masarykova univerzita, Diagnostika a patofyziologie neuropatické bolesti

NV18-04-00159, projekt VaV

Název: Využití pokročilých magneticko-rezonančních technik k odhalení patofyziologie a zlepšení diagnostiky a praktického managementu degenerativní komprese krční míchy

Investor: Ministerstvo zdravotnictví ČR, Využití pokročilých magneticko-rezonančních technik k objasnění patofyziologie a zlepšení diagnostiky a praktického managementu degenerativní komprese krční míchy

Citovat

KADAŇKA, Zdeněk, Zdeněk KADAŇKA, René JURA a Josef BEDNAŘÍK. Vertigo in Patients with Degenerative Cervical Myelopathy. Journal of Clinical Medicine. Basel: MDPI, 2021, roč. 10, č. 11, s. 1-12. ISSN 2077-0383. Dostupné z: https://dx.doi.org/10.3390/jcm10112496.

@article{1774618,
   author = {Kadaňka, Zdeněk and Kadaňka, Zdeněk and Jura, René and Bednařík, Josef},
   article_location = {Basel},
   article_number = {11},
   doi = {http://dx.doi.org/10.3390/jcm10112496},
   keywords = {cervical vertigo; cervical dizziness; degenerative cervical myelopathy; degenerative cervical spinal cord compression; cervical torsion test},
   language = {eng},
   issn = {2077-0383},
   journal = {Journal of Clinical Medicine},
   title = {Vertigo in Patients with Degenerative Cervical Myelopathy},
   url = {https://www.mdpi.com/2077-0383/10/11/2496},
   volume = {10},
   year = {2021}
}

TY  - JOUR
ID  - 1774618
AU  - Kadaňka, Zdeněk - Kadaňka, Zdeněk - Jura, René - Bednařík, Josef
PY  - 2021
TI  - Vertigo in Patients with Degenerative Cervical Myelopathy
JF  - Journal of Clinical Medicine
VL  - 10
IS  - 11
SP  - 1-12
EP  - 1-12
PB  - MDPI
SN  - 20770383
KW  - cervical vertigo
KW  - cervical dizziness
KW  - degenerative cervical myelopathy
KW  - degenerative cervical spinal cord compression
KW  - cervical torsion test
UR  - https://www.mdpi.com/2077-0383/10/11/2496
N2  - (1) Background: Cervical vertigo (CV) represents a controversial entity, with a prevalence ranging from reported high frequency to negation of CV existence. (2) Objectives: To assess the prevalence and cause of vertigo in patients with a manifest form of severe cervical spondylosis–degenerative cervical myelopathy (DCM) with special focus on CV. (3) Methods: The study included 38 DCM patients. The presence and character of vertigo were explored with a dedicated questionnaire. The cervical torsion test was used to verify the role of neck proprioceptors, and ultrasound examinations of vertebral arteries to assess the role of arteriosclerotic stenotic changes as hypothetical mechanisms of CV. All patients with vertigo underwent a detailed diagnostic work-up to investigate the cause of vertigo. (4) Results: Symptoms of vertigo were described by 18 patients (47%). Causes of vertigo included: orthostatic dizziness in eight (22%), hypertension in five (14%), benign paroxysmal positional vertigo in four (11%) and psychogenic dizziness in one patient (3%). No patient responded positively to the cervical torsion test or showed significant stenosis of vertebral arteries. (5) Conclusions: Despite the high prevalence of vertigo in patients with DCM, the aetiology in all cases could be attributed to causes outside cervical spine and related nerve structures, thus confirming the assumption that CV is over-diagnosed.
ER  -

KADAŇKA, Zdeněk, Zdeněk KADAŇKA, René JURA a Josef BEDNAŘÍK. Vertigo in Patients with Degenerative Cervical Myelopathy. \textit{Journal of Clinical Medicine}. Basel: MDPI, 2021, roč.~10, č.~11, s.~1-12. ISSN~2077-0383. Dostupné z: https://dx.doi.org/10.3390/jcm10112496.

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