{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T04:44:37Z","timestamp":1774845877235,"version":"3.50.1"},"reference-count":38,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T00:00:00Z","timestamp":1622764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009553","name":"Agentura Pro Zdravotnick\u00fd V\u00fdzkum \u010cesk\u00e9 Republiky","doi-asserted-by":"publisher","award":["NV 18-04-00159"],"award-info":[{"award-number":["NV 18-04-00159"]}],"id":[{"id":"10.13039\/501100009553","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Background: Cervical vertigo (CV) represents a controversial entity, with a prevalence ranging from reported high frequency to negation of CV existence. (2) Objectives: To assess the prevalence and cause of vertigo in patients with a manifest form of severe cervical spondylosis\u2013degenerative cervical myelopathy (DCM) with special focus on CV. (3) Methods: The study included 38 DCM patients. The presence and character of vertigo were explored with a dedicated questionnaire. The cervical torsion test was used to verify the role of neck proprioceptors, and ultrasound examinations of vertebral arteries to assess the role of arteriosclerotic stenotic changes as hypothetical mechanisms of CV. All patients with vertigo underwent a detailed diagnostic work-up to investigate the cause of vertigo. (4) Results: Symptoms of vertigo were described by 18 patients (47%). Causes of vertigo included: orthostatic dizziness in eight (22%), hypertension in five (14%), benign paroxysmal positional vertigo in four (11%) and psychogenic dizziness in one patient (3%). No patient responded positively to the cervical torsion test or showed significant stenosis of vertebral arteries. (5) Conclusions: Despite the high prevalence of vertigo in patients with DCM, the aetiology in all cases could be attributed to causes outside cervical spine and related nerve structures, thus confirming the assumption that CV is over-diagnosed.<\/jats:p>","DOI":"10.3390\/jcm10112496","type":"journal-article","created":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T23:59:55Z","timestamp":1623023995000},"page":"2496","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Vertigo in Patients with Degenerative Cervical Myelopathy"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5146-2457","authenticated-orcid":false,"suffix":"Jr.","given":"Zdenek","family":"Kadanka","sequence":"first","affiliation":[{"name":"Department of Neurology, University Hospital, 625 00 Brno, Czech Republic"},{"name":"Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Sr.","given":"Zdenek","family":"Kadanka","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital, 625 00 Brno, Czech Republic"},{"name":"Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0361-0256","authenticated-orcid":false,"given":"Rene","family":"Jura","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital, 625 00 Brno, Czech Republic"},{"name":"Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7420-2383","authenticated-orcid":false,"given":"Josef","family":"Bednarik","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital, 625 00 Brno, Czech Republic"},{"name":"Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s13561-019-0258-2","article-title":"Economic burden of vertigo: A systematic review","volume":"9","author":"Kovacs","year":"2019","journal-title":"Health Econ. Rev."},{"key":"ref_2","first-page":"109","article-title":"Symptoms in cervical vertigo","volume":"4","author":"Hain","year":"2019","journal-title":"Laryngoscope"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s40945-017-0040-x","article-title":"How to diagnose cervicogenic dizziness","volume":"7","author":"Reiley","year":"2017","journal-title":"Arch. Physiother."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1136\/bmj.313.7060.788","article-title":"Evaluation of investigations to diagnose the cause of dizziness in elderly people: A community based controlled study","volume":"313","author":"Colledge","year":"1996","journal-title":"BMJ"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"48","DOI":"10.2185\/jrm.2958","article-title":"Importance of cervicogenic general dizziness","volume":"13","author":"Takahashi","year":"2018","journal-title":"J. Rural Med."},{"key":"ref_6","first-page":"300","article-title":"Vestibular Disorders","volume":"117","author":"Strupp","year":"2020","journal-title":"Dtsch. Aerzteblatt Online"},{"key":"ref_7","first-page":"619","article-title":"Degenerative Cervical Myelopathy","volume":"65","author":"Milligan","year":"2019","journal-title":"Can. Fam. Physician"},{"key":"ref_8","first-page":"409","article-title":"Cervical Spondylotic Myelopathy","volume":"19","author":"Karadimas","year":"2012","journal-title":"Neuroscientist"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e019809","DOI":"10.1136\/bmjopen-2017-019809","article-title":"Can microstructural MRI detect subclinical tissue injury in subjects with asymptomatic cervical spinal cord compression? A prospective cohort study","volume":"8","author":"Martin","year":"2018","journal-title":"BMJ Open"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1007\/s00586-016-4660-8","article-title":"The modified Japanese Orthopaedic Association scale: Establishing criteria for mild, moderate and severe impairment in patients with degenerative cervical myelopathy","volume":"26","author":"Tetreault","year":"2016","journal-title":"Eur. Spine J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e00797","DOI":"10.1002\/brb3.797","article-title":"Predictors of symptomatic myelopathy in degenerative cervical spinal cord compression","volume":"7","author":"Kadanka","year":"2017","journal-title":"Brain Behav."},{"key":"ref_12","first-page":"505","article-title":"The Treatment and Natural Course of Peripheral and Central Vertigo","volume":"110","author":"Strupp","year":"2013","journal-title":"Dtsch. Aerzteblatt Online"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Filippopulos, F.M., Albers, L., Straube, A., Gerstl, L., Blum, B., Langhagen, T., Jahn, K., Heinen, F., Von Kries, R., and Landgraf, M.N. (2017). Vertigo and dizziness in adolescents: Risk factors and their population attributable risk. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0187819"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s10286-011-0119-5","article-title":"Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome","volume":"21","author":"Freeman","year":"2011","journal-title":"Clin. Auton. Res."},{"key":"ref_15","first-page":"S1","article-title":"Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)","volume":"156","author":"Bhattacharyya","year":"2017","journal-title":"Otolaryngol. Neck Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1016\/0140-6736(91)92916-P","article-title":"MRC European Carotid Surgery Trial: Interim results for symptomatic patients with severe (70\u201399%) or with mild (0\u201329%) carotid stenosis","volume":"337","author":"Warlow","year":"1991","journal-title":"Lancet"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1093\/qjmed\/hcg003","article-title":"Diagnosis and management of vertebral artery stenosis","volume":"96","author":"Cloud","year":"2003","journal-title":"Qjm Int. J. Med."},{"key":"ref_18","first-page":"29","article-title":"Prevalence of vertebral artery origin stenosis and occlusion in outpatient extracranial ultrasonography","volume":"7","author":"Koch","year":"2014","journal-title":"J. Vasc. Interv. Neurol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1858","DOI":"10.1097\/MAO.0000000000000506","article-title":"Evaluation of Paraclinical Tests in the Diagnosis of Cervicogenic Dizziness","volume":"35","author":"Godbout","year":"2014","journal-title":"Otol. Neurotol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1186\/s12891-019-2846-z","article-title":"Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis","volume":"20","author":"Reddy","year":"2019","journal-title":"BMC Musculoskelet. Disord."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"172","DOI":"10.3389\/fneur.2019.00172","article-title":"Perception of Verticality and Vestibular Disorders of Balance and Falls","volume":"10","author":"Dieterich","year":"2019","journal-title":"Front. Neurol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s10286-010-0114-2","article-title":"Prevalence and complications of orthostatic dizziness in the general population","volume":"21","author":"Radtke","year":"2011","journal-title":"Clin. Auton. Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"157","DOI":"10.7162\/S1809-97772013000200007","article-title":"Association between complaints of dizziness and hypertension in non-institutionalized elders","volume":"17","author":"Moreira","year":"2014","journal-title":"Int. Arch. Otorhinolaryngol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1080\/00016489.2016.1247985","article-title":"Clinical characteristics and treatment outcomes for benign paroxysmal positional vertigo comorbid with hypertension","volume":"137","author":"Tan","year":"2016","journal-title":"Acta Oto-Laryngol."},{"key":"ref_25","first-page":"1227","article-title":"Etiological analysis on patients with vertigo or dizziness","volume":"98","author":"Xue","year":"2018","journal-title":"Chin. Med. J."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"45","DOI":"10.3233\/VES-190655","article-title":"Hemodynamic orthostatic dizziness\/vertigo: Diagnostic criteria","volume":"29","author":"Kim","year":"2019","journal-title":"J. Vestib. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1001\/jamaoto.2018.1657","article-title":"Assessment of a Statistical Algorithm for the Prediction of Benign Paroxysmal Positional Vertigo","volume":"144","author":"Britt","year":"2018","journal-title":"JAMA Otolaryngol. Neck Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/WCO.0000000000000417","article-title":"Functional dizziness: From phobic postural vertigo and chronic subjective dizziness to persistent postural-perceptual dizziness","volume":"30","author":"Dieterich","year":"2017","journal-title":"Curr. Opin. Neurol."},{"key":"ref_29","first-page":"272","article-title":"Cervical spine radiographs in patients with vertigo and dizziness","volume":"125","year":"2019","journal-title":"Radiol. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.wneu.2021.01.030","article-title":"Bow Hunter\u2019s Syndrome","volume":"148","author":"Judy","year":"2021","journal-title":"World Neurosurg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1093\/omcr\/omz115","article-title":"Cervicogenic dizziness","volume":"2019","author":"Chu","year":"2019","journal-title":"Oxf. Med Case Rep."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1002\/ana.410010307","article-title":"Ataxia and nystagmus induced by injection of local anesthetics in the neck","volume":"1","author":"Cohen","year":"1977","journal-title":"Ann. Neurol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e6365","DOI":"10.1097\/MD.0000000000006365","article-title":"Does the longus colli have an effect on cervical vertigo?","volume":"96","author":"Liu","year":"2017","journal-title":"Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jvscit.2018.09.006","article-title":"Rotational vertebral artery occlusion secondary to completely extraosseous vertebral artery","volume":"5","author":"Rendon","year":"2019","journal-title":"J. Vasc. Surg. Cases Innov. Tech."},{"key":"ref_35","first-page":"614","article-title":"Effect of head rotation on the vertebrobasilar system. A transcranial Doppler ultrasound contribution to the physiology","volume":"42","author":"Simon","year":"1994","journal-title":"HNO"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1016\/j.mehy.2011.08.012","article-title":"Degenerative pathological irritations to cervical PLL may play a role in presenting sympathetic symptoms","volume":"77","author":"Wang","year":"2011","journal-title":"Med. Hypotheses"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s10067-008-0983-0","article-title":"Effect of cervical spondylosis on vertebral arterial flow and its association with vertigo","volume":"28","author":"Bayrak","year":"2008","journal-title":"Clin. Rheumatol."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Chandratheva, A., Werring, D., and Kaski, D. (2020). Vertebrobasilar insufficiency: An insufficient term that should be retired. Pract. Neurol., 2\u20133.","DOI":"10.1136\/practneurol-2020-002668"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/10\/11\/2496\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:11:06Z","timestamp":1760163066000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/10\/11\/2496"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,4]]},"references-count":38,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,6]]}},"alternative-id":["jcm10112496"],"URL":"https:\/\/doi.org\/10.3390\/jcm10112496","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,4]]}}}