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Audiol Res. 2021 Sep 26;11(4):491-507. doi: 10.3390/audiolres11040045.

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

Audiology research

Marcello Cherchi, Frank E DiLiberto, Darío A Yacovino, Sunit Das

Affiliations

  1. Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
  2. Chicago Dizziness and Hearing, Chicago, IL 60611, USA.
  3. Department of Physical Therapy, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA.
  4. Department of Neurology, Dr. César Milstein Hospital, Buenos Aires C1221 ABE, Argentina.
  5. Memory and Balance Clinic, Buenos Aires C1424 AFC, Argentina.
  6. Division of Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON M5B 1W8, Canada.
  7. Keenan Research Centre for Biomedical Science, Toronto, ON M5B 1W8, Canada.
  8. Arthur and Sonia Labatt Brain Tumor Research Centre, Hospital for Sick Children, Toronto, ON M5G 1X8, Canada.

PMID: 34698085 PMCID: PMC8544230 DOI: 10.3390/audiolres11040045

Abstract

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.

Keywords: cervicalgia; migraine; multisensory integration; oculomotor testing; physical therapy; proprioception; vascular imaging; vertigo; vestibular testing

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