OVERVIEW
Cervical vertigo is sometimes called Bow Hunter’s Syndrome, an uncommon condition in which the vertebral artery is symptomatically occluded during neck rotation. Vertigo or dizziness is provoked by a neck posture no matter what the orientation of the head is to gravity. It occasionally accompanies a neck injury. Also it is estimated that 20—58% of patients who sustain closed-head injuries or whiplash experience late onset symptoms of dizziness, disequilibrium, hearing loss, ear pain and vertigo.
CAUSES
There are many potential causes of cervical vertigo. Some causes are as follows:
§ Vascular compression --- the vertebral arteries in the neck can be compressed by the vertebrae or other structures (Bow Hunter’s Syndrome)
§ Sensory information from the neck may be absent or unreliable.
§ Cervical cord compression --- this is the most common mechanism of cervical vertigo
§ Cerebrospinal Fluid ( CSF) leak due to tear of cervical root sleeve
DIAGNOSIS
There is no consensus on how to diagnose cervical vertigo. The process is generally uncertain and frustrating. Routine exams for positive confirmation
of cervical vertigo include:
§ ENG
§ OAE
§ VEMP
§ Audiogram
§ MRI-neck and MRI-brain
§ CT-angiography
§ Flexion/extension x-rays of neck
TREATMENT
For the usual person in whom cervical vertigo is a diagnosis of exclusion, and pain is prominent the following treatment is recommended, possibly combined to relieve pain and reduce spasm.
§ Physical therapy --- includes gentle mobilization, exercise, and instruction in proper posture and use of the neck
§ Medical management ---includes muscle relaxants for pain and when arthritis is present
§ Antidepressants -- for chronic pain and the reactive depression that often accompanies
§ Cervical blocks --- to reduce painful muscle spasms
§ Surgery --- can be complicated, but is nearly always successful
For more info. http://www.dizziness-and-balance.com/ or http://www.revolutionhealth.com/
Cervical vertigo is sometimes called Bow Hunter’s Syndrome, an uncommon condition in which the vertebral artery is symptomatically occluded during neck rotation. Vertigo or dizziness is provoked by a neck posture no matter what the orientation of the head is to gravity. It occasionally accompanies a neck injury. Also it is estimated that 20—58% of patients who sustain closed-head injuries or whiplash experience late onset symptoms of dizziness, disequilibrium, hearing loss, ear pain and vertigo.
CAUSES
There are many potential causes of cervical vertigo. Some causes are as follows:
§ Vascular compression --- the vertebral arteries in the neck can be compressed by the vertebrae or other structures (Bow Hunter’s Syndrome)
§ Sensory information from the neck may be absent or unreliable.
§ Cervical cord compression --- this is the most common mechanism of cervical vertigo
§ Cerebrospinal Fluid ( CSF) leak due to tear of cervical root sleeve
DIAGNOSIS
There is no consensus on how to diagnose cervical vertigo. The process is generally uncertain and frustrating. Routine exams for positive confirmation
of cervical vertigo include:§ ENG
§ OAE
§ VEMP
§ Audiogram
§ MRI-neck and MRI-brain
§ CT-angiography
§ Flexion/extension x-rays of neck
TREATMENT
For the usual person in whom cervical vertigo is a diagnosis of exclusion, and pain is prominent the following treatment is recommended, possibly combined to relieve pain and reduce spasm.
§ Physical therapy --- includes gentle mobilization, exercise, and instruction in proper posture and use of the neck
§ Medical management ---includes muscle relaxants for pain and when arthritis is present
§ Antidepressants -- for chronic pain and the reactive depression that often accompanies
§ Cervical blocks --- to reduce painful muscle spasms
§ Surgery --- can be complicated, but is nearly always successful
For more info. http://www.dizziness-and-balance.com/ or http://www.revolutionhealth.com/
3 comments:
Has anyone been treated for this or is there a physician who has treated this? My doctor believes I have "Bow Hunter's Syndrome".
As a physiotherapist I have seen this before. Treatment has been very successful using mobilsation of the vertebrae, releasing the soft tissue and stabilising the cervical spine using exercises.
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