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Neurosurgery (Expert Forum)
cervicogenic vertigo
Answered by
Nassim Abi Chahine, MD - General Neurosurgery
Beirut - Lebanon
Welcome to the International Neurosurgery forum. This forum is moderated by Dr. Abi Chahine who is affiliated with St. George Hospital in Beirut, Lebanon
cervicogenic vertigo
by pam1962, Oct 23, 2009 06:59AM
Dear Doctor
I had disc replacement at C5/C6 and nerve decompression on the left side in December last year since then I have had problems.
I have felt unsteady which comes in waves.
I also have pain and numbness in my hands especially first thing in the morning. I have had an M.R.I. on the brain with no result and a scan to the neck to check blood supply which is also o.k.
I am having physiotherapy and was told I have a problem on the right side of the neck further up from my operation.
I am also being told that the vertigo is due to inner ear problems not the neck although my ears are fine and have been tested. There is no evidence for this.
Is it possible it could be cervicogenic vertigo.?
This is not recognised in the U.K.
Thank you so much
I had disc replacement at C5/C6 and nerve decompression on the left side in December last year since then I have had problems.
I have felt unsteady which comes in waves.
I also have pain and numbness in my hands especially first thing in the morning. I have had an M.R.I. on the brain with no result and a scan to the neck to check blood supply which is also o.k.
I am having physiotherapy and was told I have a problem on the right side of the neck further up from my operation.
I am also being told that the vertigo is due to inner ear problems not the neck although my ears are fine and have been tested. There is no evidence for this.
Is it possible it could be cervicogenic vertigo.?
This is not recognised in the U.K.
Thank you so much
Doctor's Answer
by Nassim Abi Chahine, MD, Oct 25, 2009 03:53AM
, Oct 25, 2009 03:53AM
Cervical MRI will exclude a CSF leak.
otherwise that also could be post traumatic PTSD after surgery
otherwise that also could be post traumatic PTSD after surgery
Post Comment
Thankyou so much for giving me your time.
my advice to you is to take two types of medication now:
1- a muscle relaxant continuousely for a period of 3-4 weeks
2- an antidepressant acting on pain and subsequently reliefing muscle spasm like "Venlafaxine" (medication category SNRI).. fo a period of 3-4 months.
thank you again
D r Nassim