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Neck Pain And Dizziness

Mari Kalland Knapstad, Frederik Goplen, Jan Sture Skouen, Tove Ask, Stein Helge Glad Nordahl
PURPOSE: There is little knowledge on how neck pain impacts dizzy patients, and if different diagnoses of dizziness associate with neck pain. The aim was to examine differences in dizziness severity, quality of life and demographics in dizzy patients with and without neck pain. Additionally, we examined if neck pain was associated with a non-vestibular or vestibular diagnosis. METHODS: We included 236 consecutive patients referred to an otorhinolaryngological university clinic for vertigo and balance problems...
February 10, 2019: Disability and Rehabilitation
Anna Hermansen, Anneli Peolsson, Rune Hedlund, Ann-Sofi Kammerlind
INTRODUCTION: Symptoms of dizziness or imbalance are often present in individuals with a variety of neck-disorders. The aims of this study were to determine the prevalence of patient-reported balance problems and dizziness 10-13 years after surgery for cervical degenerative disc disease; evaluate associations with neck pain and health-related quality of life; and investigate how these individuals described dizziness. MATERIAL AND METHODS: Sixty-eight individuals, 10 years or more after anterior cervical decompression and fusion surgery, who previously participated in a randomized controlled trial were included...
January 27, 2019: Physiotherapy Theory and Practice
Takashi Sasaki, Tatsuya Sato, Yousuke Nakai, Naoki Sasahira, Hiroyuki Isayama, Kazuhiko Koike
RATIONALE: Brain metastases are extremely rare for patients with pancreatic adenocarcinoma due to the poor prognoses. In the present study, we reported 2 cases of pancreatic adenocarcinoma with brain metastases. PATIENT CONCERNS: The 1st patient was diagnosed asymptomatic brain metastasis by a follow-up brain magnetic resonance imaging (MRI) due to a medical history of subarachnoid hemorrhage. The 2nd patient experienced dizziness, neck pain, and seizure. Computed tomography (CT) was used for the diagnosis of brain metastasis because he was inserted a pacemaker...
January 2019: Medicine (Baltimore)
Fei Li, Tianxin Jiang
OBJECTIVE: To compare the effect difference between needle-knife therapy combined with moxa stick pressure moxibustion and western medicine for cervical vertigo. METHODS: A total of 60 cervical vertigo patients were randomized into an observation group and a control group, 30 cases in each group. The patients in the observation group were treated with needle-knife therapy combined with moxa stick pressure moxibustion at Baihui (GV 20), Shenting (GV 24), Tianzhu (BL 10), Yuzhen (BL 9), Touwei (ST 8), etc...
September 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Ferran Cuenca-Martínez, Isabel Bartrina-Rodríguez, Luis Suso-Martí, Roy La Touche, Raúl Ferrer-Peña
Cervicogenic dizziness is a musculoskeletal disorder mainly characterized by dizziness associated with neck pain. The aim of this study was to assess the association between somatosensory, motor and psychological variables by levels of disability due to dizziness in patients with cervicogenic dizziness. A total of 64 patients were classified into two groups according to the presence of higher and lower levels of disability due to dizziness. The degree of disability due to dizziness, the magnitude of chronic pain, catastrophizing and kinesiophobia were evaluated by self-reports...
December 28, 2018: Somatosensory & Motor Research
Libin An, Wentao Li, Hongling Shi, Xiaohua Zhou, Xin Liu, Huina Wang, Ju Liu, Shuqin Fan
BACKGROUND: The incidence of acute coronary syndrome is increasing in China. OBJECTIVE: To investigate gender differences in Chinese patients' acute coronary syndrome symptoms, attribution of symptoms and reasons for seeking medical service. METHODS: This was a cross-sectional, multicentre study. Acute coronary syndrome patients were recruited from five university hospitals located in four cities, between June 2013 and February 2014. Data were collected using the McSweeney acute and prodromal myocardial infarction symptom survey...
December 17, 2018: European Journal of Cardiovascular Nursing
Kenshi Daimon, Hirokazu Fujiwara, Yuji Nishiwaki, Eijiro Okada, Kenya Nojiri, Kentaro Shimizu, Hiroko Ishihama, Nobuyuki Fujita, Daisuke Ichihara, Takashi Tsuji, Masaya Nakamura, Morio Matsumoto, Kota Watanabe
BACKGROUND: Some patients suffer from long-lasting symptoms after whiplash injury. However, there are few reports on the long-term changes in the cervical spine after whiplash injury using imaging tests. The purpose of this longitudinal study was to determine the changes on MRI of the cervical spine 20 years after whiplash injury, and to examine the relationships between changes in the cervical spine on MRI and changes in related clinical symptoms. METHODS: Eighty-one subjects finally participated in this study (follow-up rate 16%)...
December 12, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
R Nick Hernandez, Christoph Wipplinger, Rodrigo Navarro-Ramirez, Athos Patsalides, Apostolos John Tsiouris, Philip E Stieg, Sertac Kirnaz, Franziska Anna Schmidt, Roger Härtl
BACKGROUND: Bow hunter syndrome describes a mechanical compression of the vertebral artery on head rotation leading to reversible symptomatic vertebrobasilar insufficiency. Patients are commonly presenting with syncope, vertigo, dizziness, and visual disturbances. These symptoms usually resolve when the head is turned back into neutral position. Treatment options involve surgical decompression with or without fusion, bypass surgery, or endovascular intervention. CASE DESCRIPTION: We report about a 49-year-old female who presented with vague neck pain and severe vertigo, nausea, and near syncope when her head turned up and right...
October 25, 2018: World Neurosurgery
Yifeng Shen, Qiaoyin Zhou, Xinyue Zhu, Zuyun Qiu, Yan Jia, Zixiang Liu, Shiliang Li
RATIONALE: Tendinitis of the longus colli muscle is an aseptic inflammatory process leading to acute posterior neck pain, neck stiffness, and dysphagia or odynophagia. We present a patient exhibiting an infrequent symptom, vertigo. This is the first description of the occurrence of vertigo symptoms caused by longus colli tendinitis. PATIENT CONCERNS: A 38-year-old man was diagnosed with vertigo, presenting with a 1-month history of dizziness, palpitations, and numbness in the hands...
November 2018: Medicine (Baltimore)
Arnaud J Noreña, Philippe Fournier, Alain Londero, Damien Ponsot, Nicolas Charpentier
Acoustic shocks and traumas sometimes result in a cluster of debilitating symptoms, including tinnitus, hyperacusis, ear fullness and tension, dizziness, and pain in and outside the ear. The mechanisms underlying this large variety of symptoms remain elusive. In this article, we elaborate on the hypothesis that the tensor tympani muscle (TTM), the trigeminal nerve (TGN), and the trigeminal cervical complex (TCC) play a central role in generating these symptoms. We argue that TTM overuse (due to the acoustic shock), TTM overload (due to muscle tension), and ultimately, TTM injury (due to hypoxia and "energy crisis") lead to inflammation, thereby activating the TGN, TCC, and cortex...
January 2018: Trends in Hearing
Chunlin Tang, Lianlong Bian, Hao Jiang, Wenyan Yin, Dechun Dai
RATIONALE: Choroid plexus papillomas are rare benign central nervous system neoplasms arising from choroid plexus epithelium. They are most often located in the lateral ventricle, followed by the fourth and third ventricles and, rarely, in the cerebellopontine angle. PATIENT CONCERNS: We report an uncommon case of a 17-year-old boy who presented with neck pain that had lasted for more than 1 month, with accompanying pain and numbness in his upper extremities. His conditions included slight dizziness, nausea, diplopia, paresthesia, and an unsteady gait...
September 2018: Medicine (Baltimore)
Guang-Lin Chen, Ting-Ting Feng, Shi-Tao Xu, Jin-Qiang Wang, Lei Tan, Yong Ma, Gui-Cheng Huang
OBJECTIVE: To evaluate the clinical effects of percutaneous coblation nucleoplasty in treating cervical spondylotic radiculopathy and investigate its mechanism of action. METHODS: Form January 2015 to January 2017, 21 patients with cervical spondylotic radiculopathy were treated by percutaneous coblation nucleoplasty, including 8 males and 13 females with an average age of 49.6 years old ranging from 43 to 61 years old. The course of disease was for 1 to 6 months with a median age of 4 months...
August 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
L F O Maciel, F S Landim, B C Vasconcelos
In a prospective, observational study between April and November 2017 we evaluated the correlation between temporomandibular disorder (TMD), and otological signs and other symptoms in a sample of 251 patients. First, a simplified anamnestic questionnaire was applied for the diagnosis of TMD and the following symptoms were recorded: otalgia, tinnitus, vertigo, pruritus of the ear, feeling of hearing loss, fullness in the ear, headache, pain in the eye, neck pain, back pain, and dizziness. Some degree of TMD was detected in 177 of the participants (70...
October 2018: British Journal of Oral & Maxillofacial Surgery
Mari Kalland Knapstad, Stein Helge Glad Nordahl, Ingvill Fjell Naterstad, Tove Ask, Jan Sture Skouen, Frederik Kragerud Goplen
OBJECTIVES: A tool for measuring neck pain in patients with dizziness is needed to further investigate the relationship between the two symptoms. The objective of this study was to examine the reliability and validity of a hand-held pressure algometer in measuring pressure pain threshold (PPT) in different cervical regions of dizzy patients. METHODS: PPT was measured at two bilateral standardized sites of the neck by a trained physiotherapist in 50 patients with dizziness...
October 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Kelli B Gunter, Christopher J Shields, Summer D Ott, Rogelio A Coronado
BACKGROUND: Equestrian riding is a sport with a high risk of concussion. Currently, the literature guiding rehabilitation for concussions in equestrian athletes is limited, especially for directing return to sport. CASE DESCRIPTION: In this case report, a 14-year-old female equestrian athlete presented to physical therapy following her third concussion in 3 years. Her primary complaints were headaches, dizziness, difficulty concentrating, light sensitivity, and neck pain...
December 2018: Journal of Orthopaedic and Sports Physical Therapy
Michael J Ellis, Patrick J McDonald, Ashley Olson, James Koenig, Kelly Russell
OBJECTIVE: To examine the prevalence of cervical spine injuries among children and adolescents referred with suspected and diagnosed sports-related concussion (SRC); and evaluate the effect of cervical spine dysfunction (CSD) on physician-documented clinical recovery following SRC. SETTING: A multidisciplinary pediatric concussion program. PARTICIPANTS: A total of 266 patients (6-19 years) referred with suspected SRC. DESIGN: A retrospective cohort study...
July 24, 2018: Journal of Head Trauma Rehabilitation
Seungwon Shin, Jinyoung Kim, Ami Yu, Hyung-Sik Seo, Mi-Ran Shin, Seung-Ug Hong, Chan Yung Jung, Koh-Woon Kim, Jae-Heung Cho, Euiju Lee
Cervicogenic dizziness is dizziness triggered by movement or positioning of the cervical spine and is often accompanied by neck pain or stiffness. This is a prospective, pragmatic, assessor-blind, randomized controlled trial aimed at testing the efficacy and safety of adjuvant Chuna Manual Therapy (CMT) in patients with cervicogenic dizziness under usual care treatments. Fifty patients with cervicogenic dizziness will be randomly allocated to CMT or usual care (UC) groups in a 1 : 1 ratio. Extensive screening procedures, including examinations for central nervous system problems and nystagmus, will be applied to exclude other dizziness-inducing disorders...
2018: Evidence-based Complementary and Alternative Medicine: ECAM
Wenche Iglebekk, Carsten Tjell, Peter Borenstein
Background and aim A diagnosis of chronic benign paroxysmal positional vertigo (BPPV) is based on brief attacks of rotatory vertigo and concomitant nystagmus elicited by rapid changes in head position relative to gravity. However, the clinical course of BPPV may vary considerably from a self-limiting to a persisting and/or recurrent disabling problem. The authors' experience is that the most common complaints of patients with chronic BPPV are nautical vertigo or dizziness with other symptoms including neck pain, headache, widespread musculoskeletal pain, fatigue, and visual disturbances...
October 1, 2013: Scandinavian Journal of Pain
Wenche Iglebekk, Carsten Tjell, Peter Borenstein
Background and aim Chronic musculoskeletal pain, e.g. whiplash associated disorders (WAD), fibromyalgia and myalgia, causes significant burden on both the individual and on society as a whole. In a previous study, the authors concluded that there is a likely connection between chronic benign paroxysmal positional vertigo (BPPV)/canalithiasis and headache, neck pain, generalized pain, fatigue, cognitive dysfunctions as well as tinnitus. The balance dysfunction in BPPV/canalithiasis is dynamic and not static...
July 1, 2015: Scandinavian Journal of Pain
W Z Pawlak, L Svensson, P F Jensen
Background Symptoms from disseminated cancer can develop very slowly. This could be very difficult to distinguish those symptoms from chronic disabilities and nuisances in patients with chronic non-malignant pain. Objective In this report, the case of a woman with both nonmalignant pain and cancer is presented. Case report A 54 years old woman was referred by a general practitioner to Multidisciplinary Pain Center. The diagnosis was chronic non-malignant neck pain on the basis of degenerative columnar disease...
December 29, 2017: Scandinavian Journal of Pain
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