The pathogenesis of cervical vertigo is still not clear. Currently there are several hypotheses including proprioceptive cervical vertigo, vertebral artery compressive hypothesis, neurohumor factor hypothesis,cervical sympathetic nerve related vertigo and Migraine associated cervicogenic vertigo. These hypotheses tried to explain the pathogenesis of cervical vertigo from different perspectives, however, they all failed to reveal it completely. Neck proprioceptive cervical vertigo hypothesis indicated that abnormal afferent input to the vestibular nucleus from damaged joint receptors in the upper cervical region could alter the vestibular nuclei of the brainstem, resulting in cervical vertigo. Vertebral artery compressive hypothesis thought that compression of the vertebral artery might lead to vertebrobasilar insufficiency, initiate vestibular organ ischemia, thus result in vertigo. Some authors indicated that neurohumor factors played an important role in the pathogenesis of cervical vertigo. Cervical symp
作者:张阳;李放;孙天胜
来源:中国骨与关节杂志 2018 年 7卷 5期