The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo Syndromes

The idea of cervicogenic vertigo (CV) was proposed nearly a century ago, yet despite considerable scrutiny and research, little progress has been made in clarifying the underlying mechanism of the disease, developing a confirmatory diagnostic test, or devising an appropriately targeted treatment. Gi...

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Main Authors: Marcello Cherchi, Frank E. DiLiberto, Darío A. Yacovino, Sunit Das
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Audiology Research
Subjects:
Online Access:https://www.mdpi.com/2039-4349/11/4/45
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author Marcello Cherchi
Frank E. DiLiberto
Darío A. Yacovino
Sunit Das
author_facet Marcello Cherchi
Frank E. DiLiberto
Darío A. Yacovino
Sunit Das
author_sort Marcello Cherchi
collection DOAJ
description The idea of cervicogenic vertigo (CV) was proposed nearly a century ago, yet despite considerable scrutiny and research, little progress has been made in clarifying the underlying mechanism of the disease, developing a confirmatory diagnostic test, or devising an appropriately targeted treatment. Given the history of this idea, we offer a review geared towards understanding why so many attempts at clarifying it have failed, with specific comments regarding how CV fits into the broader landscape of positional vertigo syndromes, what a successful diagnostic test might require, and some practical advice on how to approach this in the absence of a diagnostic test.
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spelling doaj.art-a53db5ddd4924e718c85ebd17b8b8b1f2023-11-23T03:48:26ZengMDPI AGAudiology Research2039-43492021-09-0111449150710.3390/audiolres11040045The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo SyndromesMarcello Cherchi0Frank E. DiLiberto1Darío A. Yacovino2Sunit Das3Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USADepartment of Physical Therapy, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USADepartment of Neurology, Dr. César Milstein Hospital, Buenos Aires C1221 ABE, ArgentinaDivision of Neurosurgery, St. Michael’s Hospital, University of Toronto, Toronto, ON M5B 1W8, CanadaThe idea of cervicogenic vertigo (CV) was proposed nearly a century ago, yet despite considerable scrutiny and research, little progress has been made in clarifying the underlying mechanism of the disease, developing a confirmatory diagnostic test, or devising an appropriately targeted treatment. Given the history of this idea, we offer a review geared towards understanding why so many attempts at clarifying it have failed, with specific comments regarding how CV fits into the broader landscape of positional vertigo syndromes, what a successful diagnostic test might require, and some practical advice on how to approach this in the absence of a diagnostic test.https://www.mdpi.com/2039-4349/11/4/45vertigocervicalgiaproprioceptionmultisensory integrationmigrainevestibular testing
spellingShingle Marcello Cherchi
Frank E. DiLiberto
Darío A. Yacovino
Sunit Das
The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo Syndromes
Audiology Research
vertigo
cervicalgia
proprioception
multisensory integration
migraine
vestibular testing
title The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo Syndromes
title_full The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo Syndromes
title_fullStr The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo Syndromes
title_full_unstemmed The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo Syndromes
title_short The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo Syndromes
title_sort enduring controversy of cervicogenic vertigo and its place among positional vertigo syndromes
topic vertigo
cervicalgia
proprioception
multisensory integration
migraine
vestibular testing
url https://www.mdpi.com/2039-4349/11/4/45
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