Cervical spine radiographs in patients with vertigo and dizziness
The purpose of this study is to investigate the role of cervical radiography in the study of patients with vertigo and dizziness.
This is a retrospective single-institution case series study of 493 patients suffering from vertigo and dizziness who were referred (from January 2011 to December 2012) to the hospital to study those symptoms.
We studied cervical radiographies, CT and MRI of the cervical spine made in the sample and the radiological findings. We analyzed demographic characteristics, presence of psychiatric pathology and emergency assistance due to vertigo in patients who have undergone cervical study.
A total of 57% of patients had cervical radiography made; this was more frequent in women, Spanish people, with psychiatric pathology and who have gone to the emergency department for vertigo (p < 0.05). Degenerative changes were found in 74.1% of the patients with radiography made, more frequently at an older age, osteophytes in 49.5% and abnormal cervical lordosis in 37.1%.
There are sociodemographic factors that influence in the request for cervical radiographs in patients with vertigo and dizziness. Given the suspicion of cervical vertigo, we do not consider that the findings in the radiographs help in the diagnosis. In our opinion, an excessive use of cervical radiography is made in patients with vertigo and dizziness.
KeywordsDiagnostic imaging Dizziness Neck Osteoarthritis Radiography Spine Vertigo
Magnetic resonance imaging
Ear nose and throat
The authors thank the staff of the ENT department of the Hospital of Torrevieja, for their critical analysis of the manuscript.
Compliance with ethical standards
Conflict of interest
The authors declare that there is no conflict of economic or other interests.
This article does not contain any studies with human participants or animals performed by any of the authors.
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