Knowledge of cervical vertigo

  Vertigo is a clinical condition with inconsistent findings across prevalence. It has been reported that about 50% of patients over 50 years of age have cervical vertigo, and it is more frequent in women, with a male to female ratio of 1:3, and the most frequent age is 30-70 years.  Patients with cervical vertigo have a very clear history of vertigo, with vertigo as the main complaint, often accompanied by tinnitus, visual discomfort, sweating, palpitations, unstable blood pressure, head and shoulder pain and numbness of upper limbs, nausea and vomiting in severe cases, and pressure pain in the cervical spine and upper thoracic interspinous ligament and trapezius muscle in a few patients.  Most of the patients have a clear and repeatable specific triggering position, mostly triggered during head and neck activities such as getting up/lying in bed, turning over, turning head, lowering head, tilting head, etc. The symptoms can be relieved by resting in bed, and the vertigo attack lasts from a few seconds to several hours, and the vertigo can last from several hours to several days after the vertigo, or more than several weeks in severe cases, during which the attacks can be repeated. However, the degree of vertigo does not gradually increase, but generally gradually decreases. The disease mostly develops in the early morning, late afternoon and before bedtime, and it is easy to develop after exertion. The patient often has a premonition before the onset of the disease, and bed rest and external cervical spine fixation are effective.