Cervicogenic Dizziness Literature Review

The days seemed to go by slower and slower each day. Empty dark rooms are

No neck swelling. Denies history of seizures or dizziness. Patient admits to headaches especially when blood pressure is not controlled.

Patient states that she has had no head injuries, past or present. Patient states she has never suffered from vertigo or dizziness. BB states that she rarely suffers from generalized headaches. Patient avoids taking pain relievers of any kind when she does present with head pain.

Question 8.8. (TCO 4) Dizziness, nausea, and disorientation may result if the information from the eyes conflicts a little too much with that from the vestibular organs, according to the _____ of motion sickness. (Points : 2)

In case if the kind of those symptom is present are a normal physiological sensation like dizziness, not indicative of disease. If a medical conditional is present there is a high risk the individual’s anxiety develop excessive preoccupation and disproportionate of the case. Individuals with this condition may repeatedly contact doctors, seek additional tests, scour internet sites and medical texts, and seek reassurance from significant others about bodily sensations which have been appropriately evaluated and judged to be benign. As a result of these emotional, cognitive and behavioral manifestations, is often disruptive to social, occupational and family functioning, and its associated economic costs are

The Early stage: vertigo is usually the main symptom at this stage. Patients will experience sudden episodes of dizziness and spinning accompanied with vomiting or nausea. These episodes can last from 24 hours to days and during them the patient may have some hearing loss which returns to normal once it is over. The ear will feel sore and uncomfortable and slight

He also had right more than left mastoid opacifications and states that he was recently treated for otitis media. He has hypertension, hyperlipidemia, coronary disease and had been noncompliant with his medications in the past. His exam was essentially normal except for the subjective vertigo. There was no nystagmus and no diplopia on the initial exam. On 06/19/2015, he gave a different history. He states that he had a strike to the left temporal on Tuesday 06/16/2015. This did not result in any vertigo or any other neurological symptoms at that time. It was two days later that he had the vertigo at work. The patient also claimed that he had been seeing double since the previous night and the morning of the 19th. However, his neurological exam at that time, failed to reveal any actual disconjugate gaze. The patient had an MRI MRA, which revealed old white matter ischemic disease and mild intracranial atherosclerosis, but no evidence for acute stroke or posterior circulation significant stenosis. His diagnosis was labyrinthitis, possibly due to his bilateral mastoiditis. He was treated with Augmentin for 10 days. His symptoms resolved prior to discharge on meclizine. On physical therapy on discharge, he had no

Scharf utilized Diagnosis Related Estimate cervical category II and assigned an 8% Whole Person Impairment. Dr. Scharf noted the MRI study of the cervical spine right disc extrusion at C5-C6, but there are no verifiable radicular symptoms in light of the result of the EMG/NCV studies, despite the applicant’s subjective complaints of radicular symptoms into the bilateral upper extremities. Since there are no verifiable radicular symptoms, the placement into DRE category II seems appropriate.

On examination of the cervical spine, there is tenderness and tight muscle band is noted on both the sides of the paravertebral muscles. There is pain with extension and palpation of right facets.

Carey reported that she experienced occasional numbness of the upper extremities and that she would occasionally drop objects from both hands. Upon physical examination, Dr. Abiera noted that Ms. Carey’s range of motion of the cervical spine was decreased on flexion and tenderness on palpation of posterior cervical muscles with spasms and trigger points was present. In addition, Dr. Abiera noted that the range of motion of lumbar spine was within normal range, however there was still some tenderness on palpation of thoracic paraspinals muscles.

There are many parts of the nervous system that could be malfunctioning to cause a sense of dizziness or loss of balance. Within the role of sensory input, parts that could be causing dizziness or loss of balance include vision and touch.

minor or even no head pain, making it hard to diagnose. Motion sickness is an early warning of

The patient was seen on June 1, 2015 secondary to vertigo. These symptoms did resolve completely.

Per the medical report dated 08/12/16 by Dr. Gunderson, the patient had neck pain, as well as headaches, dizziness and blurred vision. The neck pain radiated into both shoulders, but more so on the right, and occasionally she had tingling in her upper extremities. She described the neck pain as severe and intermittent, and not related to any specific activity, and relieved with massage. The pain in her lower back was in the beltline and radiated into both lower extremities, more so on the left. She described the pain as moderately severe and constant, and not related to any activity, and only relieved with nerve medicines. On examination, the patient had tenderness in the lower cervical region about C5 to C7. Range of motion of her neck was 75% of normal. Motor, sensory, and reflex examinations in the upper extremities were normal. On examination of the lumbar spine, the patient could dress and undress without difficulty. She had a bent forward posture and gait. She had reduced lumbar motion and with maximum forward flexion, her fingertips were 12 inches from the floor. Lateral flexion was 50% of normal, and she had no active extension in the lumbar spine. Motor, sensory, and reflex examinations in the lower extremities were normal. There was paravertebral tenderness about L4-5 bilaterally, as well as in both sacroiliac and sciatic notch regions. Straight leg caused hip and thigh pain at 50 degrees bilaterally. Of note, X-rays of the cervical spine demonstrated disc degeneration at C5-6. X-rays of the lumbar spine were normal. Patient sustained

include drowsiness, headache, and back pain, typically on the side also referred to as flank