Vertigo in Patients with Degenerative Cervical Myelopathy

J 2021

Vertigo in Patients with Degenerative Cervical Myelopathy

KADAŇKA, Zdeněk, Zdeněk KADAŇKA, René JURA and Josef BEDNAŘÍK

Basic information

Original name

Vertigo in Patients with Degenerative Cervical Myelopathy

Authors

KADAŇKA, Zdeněk (203 Czech Republic, guarantor, belonging to the institution), Zdeněk KADAŇKA (203 Czech Republic, belonging to the institution), René JURA (203 Czech Republic, belonging to the institution) and Josef BEDNAŘÍK (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30218 General and internal medicine

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.964

RIV identification code

RIV/00216224:14110/21:00120103

Organization unit

Faculty of Medicine

DOI

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

UT WoS

000660154000001

Keywords in English

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

Abstract

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.

Links

MUNI/A/1600/2020, interní kód MU

Name: Diagnostika a patofyziologie neuropatické bolesti (Acronym: PNB)

Investor: Masaryk University

NV18-04-00159, research and development project

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

Investor: Ministry of Health of the CR

Citovat

KADAŇKA, Zdeněk, Zdeněk KADAŇKA, René JURA and Josef BEDNAŘÍK. Vertigo in Patients with Degenerative Cervical Myelopathy. Journal of Clinical Medicine. Basel: MDPI, 2021, vol. 10, No 11, p. 1-12. ISSN 2077-0383. Available from: 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 and Josef BEDNAŘÍK. Vertigo in Patients with Degenerative Cervical Myelopathy. \textit{Journal of Clinical Medicine}. Basel: MDPI, 2021, vol.~10, No~11, p.~1-12. ISSN~2077-0383. Available from: https://dx.doi.org/10.3390/jcm10112496.

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