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Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management.
Eur Arch Otorhinolaryngol 2018; 275(10):2421-2433EA

Abstract

PURPOSE

Though there is abundant literature on cervicogenic dizziness with at least half a dozen of review articles, the condition remains to be enigmatic for clinicians dealing with the dizzy patients. However, most of these studies have studied the cervicogenic dizziness in general without separating the constitute conditions. Since the aetiopathological mechanism of dizziness varies between these cervicogenic causes, one cannot rely on the universal conclusions of these studies unless the constitute conditions of cervicogenic dizziness are separated and contrasted against each other.

METHODS

This narrative review of recent literature revisits the pathophysiology and the management guidelines of various conditions causing the cervicogenic dizziness, with an objective to formulate a practical algorithm that could be of clinical utility. The structured discussion on each of the causes of the cervicogenic dizziness not only enhances the readers' understanding of the topic in depth but also enables further research by identifying the potential areas of interest and the missing links.

RESULTS

Certain peculiar features of each condition have been discussed with an emphasis on the recent experimental and clinical studies. A simple aetiopathological classification and a sensible management algorithm have been proposed by the author, to enable the identification of the most appropriate underlying cause for the cervicogenic dizziness in any given case. However, further clinical studies are required to validate this algorithm.

CONCLUSIONS

So far, no single clinical study, either epidemiological or interventional, has incorporated and isolated all the constitute conditions of cervicogenic dizziness. There is a need for such studies in the future to validate either the reliability of a clinical test or the efficacy of an intervention in cervicogenic dizziness.

Authors+Show Affiliations

Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, 576104, India. deardrdr@gmail.com.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30094486

Citation

Devaraja, K. "Approach to Cervicogenic Dizziness: a Comprehensive Review of Its Aetiopathology and Management." European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, vol. 275, no. 10, 2018, pp. 2421-2433.
Devaraja K. Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management. Eur Arch Otorhinolaryngol. 2018;275(10):2421-2433.
Devaraja, K. (2018). Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management. European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 275(10), pp. 2421-2433. doi:10.1007/s00405-018-5088-z.
Devaraja K. Approach to Cervicogenic Dizziness: a Comprehensive Review of Its Aetiopathology and Management. Eur Arch Otorhinolaryngol. 2018;275(10):2421-2433. PubMed PMID: 30094486.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management. A1 - Devaraja,K, Y1 - 2018/08/09/ PY - 2018/06/29/received PY - 2018/08/06/accepted PY - 2018/8/11/pubmed PY - 2018/11/15/medline PY - 2018/8/11/entrez KW - Barre–Lieou syndrome KW - Benign paroxysmal positional vertigo KW - Bow hunter’s syndrome KW - Cervical vertigo KW - Cervicogenic dizziness KW - Whiplash-associated disorder SP - 2421 EP - 2433 JF - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JO - Eur Arch Otorhinolaryngol VL - 275 IS - 10 N2 - PURPOSE: Though there is abundant literature on cervicogenic dizziness with at least half a dozen of review articles, the condition remains to be enigmatic for clinicians dealing with the dizzy patients. However, most of these studies have studied the cervicogenic dizziness in general without separating the constitute conditions. Since the aetiopathological mechanism of dizziness varies between these cervicogenic causes, one cannot rely on the universal conclusions of these studies unless the constitute conditions of cervicogenic dizziness are separated and contrasted against each other. METHODS: This narrative review of recent literature revisits the pathophysiology and the management guidelines of various conditions causing the cervicogenic dizziness, with an objective to formulate a practical algorithm that could be of clinical utility. The structured discussion on each of the causes of the cervicogenic dizziness not only enhances the readers' understanding of the topic in depth but also enables further research by identifying the potential areas of interest and the missing links. RESULTS: Certain peculiar features of each condition have been discussed with an emphasis on the recent experimental and clinical studies. A simple aetiopathological classification and a sensible management algorithm have been proposed by the author, to enable the identification of the most appropriate underlying cause for the cervicogenic dizziness in any given case. However, further clinical studies are required to validate this algorithm. CONCLUSIONS: So far, no single clinical study, either epidemiological or interventional, has incorporated and isolated all the constitute conditions of cervicogenic dizziness. There is a need for such studies in the future to validate either the reliability of a clinical test or the efficacy of an intervention in cervicogenic dizziness. SN - 1434-4726 UR - https://www.unboundmedicine.com/medline/citation/30094486/Approach_to_cervicogenic_dizziness:_a_comprehensive_review_of_its_aetiopathology_and_management_ L2 - https://dx.doi.org/10.1007/s00405-018-5088-z DB - PRIME DP - Unbound Medicine ER -