不该再使用“颈性眩晕”的概念

Concept of “cervical vertigo” should no longer to be used

随着对头晕及眩晕机制认识的不断深入,研究发现转颈诱发或加重的头晕具有多重发生机制,其中最重要的两种是高位颈部的深感觉传入异常及与椎基底动脉受压相关的后循环缺血。然而,这两种机制所导致的临床表现、检查手段诊断方法及处理完全不同。因此,使用"颈性眩晕"概念来涵盖这两种截然不同的情况并不恰当,不该继续使用。

With the in-depth understanding of dizziness and vertigo mechanisms,it has been found that there are multiple mechanisms for dizziness/vertigo induced or aggravated by turning of neck,of which proprioception afferent abnormality in the upper cervical region and posterior circulation ischemia associated with vertebral basilar artery compression are the two most important ones.The clinical manifestations,examination and diagnosis methods,and treatments of dizziness/vertigo induced by these two mechanisms are quite different.Therefore,it is inappropriate to use the concept of'cervical vertigo'to cover these two different situations,and the concept should no longer to be used.