ISSN 1612-3352

Editors in Chief

Prof. Dr. Claus F. Claussen, Neurootological Research Institute of the Research Society for Smell, Taste, Hearing and Equilibrium Disorders at Bad Kissingen (4-G-F). Bad Kissingen, Germany.
Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.

Production Managers

Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.


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Vertigo in relation to postraumatic cervical syndromes

Abstract

Cervical syndrome is a condition caused by irritation or compression of the cervical structures including spines, spinal cord, nerves and muscles, marked by pain in the neck radiating into the shoulder, arm, or forearm, depending on which nerve root is affected or neurosensorial signs like vertigo, tinnitus, blurred vision etc. due to the cervical-encephalic irritations of the neurosensorial system. Whiplash is a popular term for an acute acceleration extension injury of the cervical spine. The severity of the posttraumatic symptoms depends on the site of the cervical lesions and the extend of the damage to the spinal bones, the soft tissues of the neck, the cervical blood vessels and although trauma to the spinal cord and the brain. Four types of posttraumatic whiplash syndromes can be differentiated: cervical syndrome, cervicobrachial syndrome, cervicomedullary syndrome, cervicoencephalic syndrome. The latter is most important for the field of neurootology.
Cranio-corpography (CCG) allows us to observe separately but also simultaneously the impaired head as well as the neck movements. Tinnitus, hypacusia and vertigo can appear separately or together; suddenly or as the worsening of chronic complaints. The causes of vertigo, hypacusia and tinnitus can appear as central or peripheral lesions.
For this study 426 cases (48,12% males, 51,88% females) were investigated. In our neurootological history NODEC out of the 6 most important vertigo symptoms occurring 2,02 signs per patient and out of the total of 11 symptoms of vertigo and nausea (vestibulo- vegetative) 2,99 signs per patient were found. Tinnitus existed in 57,04% and hearing loss in 53,76%.
When applying modern neurootometry the following gross functional pathology was found in: ENG of caloric nystagmus 69,48%, stepping-CCG 73,94%, bone conductional audiometry 29,34% in the right and 38,73% in the left ear.

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