Posturography and Vertigo

  • P. L. Ghilardi
  • A. Casani
  • B. Fattori
Conference paper


Traumatic damage to the soft tissue in the neck may cause the onset of vertigo and dizziness in a large number of cases [13, 31, 47, 49]. The attacks of vertigo and dizziness may last for months after the injury, although these usually decrease significantly as the neck pain subsides. The dizzy Symptoms which follow even a rather light case of whiplash injury (WI) are usually described in nonspecific terms such as lightheadedness, offbalance, and floating and only a small percentage of patients have a Sensation of spinning or rotatory vertigo [ 1 ].


Whiplash Injury Positional Nystagmus Cervical Vertigo Rotatory Vertigo Neck Proprioceptor 
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  1. 1.
    Baloh RW, Honrubia V (1990) Clinical neurophysiology of the vestibulär System. 2nd ed, FA Davis Company, PhiladelphiaGoogle Scholar
  2. 2.
    Becker R, Meyer E (1991) Cervical Syndrome due to trauma. In: Claussen CF, Kirtane MV (eds). Vertigo, nausea, tinnutus and hypoacusia due to head and neck trauma. Elsevier Science Publ, Amsterdam, pp 259–263Google Scholar
  3. 3.
    Biemond A, De Jong JMBV (1969) On cervical nystagmus and related disor-ders. Brain 92:437–458PubMedCrossRefGoogle Scholar
  4. 4.
    Bles W, DeJong JMBV (1986) Uni- and bilateral loss of vestibulär function. In: Bles W, Brandt T (eds). Disorders of posture and gait. Elsevier, Amsterdam, pp 127–140Google Scholar
  5. 5.
    Boniver R (1991) PostUrographie et vertige paroxystique benin. Acta ORLBelg 45:331–334Google Scholar
  6. 6.
    Brandt T (1991) Vertigo. Its multisensory Syndromes. Springer-Verlag, LondonCrossRefGoogle Scholar
  7. 7.
    Brandt T, Krapczyk S, Malbenden L (1981) Postural imbalance with head extension. Improvement by training as a model for ataxia therapy. Ann NY Acad Sc 374:646–649CrossRefGoogle Scholar
  8. 8.
    Brandt T, Dieterich M, Buchele W (1986) Postural abnormalities in central vestibulär brain stem lesions. In: Bles W, Brandt T (eds). Disorders of posture and gait. Elsevier, Amsterdam, pp 141–156Google Scholar
  9. 9.
    Buchele W, Brandt T (1986) Benign paroxysmal positioning vertigo and posture. In: Bles W, Brandt T (eds). Disorders of posture and gait. Elsevier, Amsterdam, pp 101–112Google Scholar
  10. 10.
    Casani A, Ghilardi PL, Pardini L, Fattori B, Piragine F (1989) La piattaforma stabilometrica: sua utilitä nella strategia diagnostica otoneurologica. In: Ghilardi PL, Piragine F (eds). Analisi computerizzata della reazione suolo-piede nelle alterazioni deH’equilibrio posturale e della deambulazione: approccio inter-disciplinare. TEP Edizioni, Pisa, pp 19–27Google Scholar
  11. 11.
    Casani A, Ghilardi PL, Fattori B, Vannucchi R (1991) The neuro-otological Undings following mild head injury. In: Claussen CF, Kirtane MV (eds) Vertigo, nausea, tinnutus and hypoacusia due to head and neck trauma. Elsevier Science Publ, Amsterdam, pp 133–136Google Scholar
  12. 12.
    Casani A, Ghilardi PL, Fattori B, Pardini L, Raffi G, Piragine F (1992) Assessment of vestibular and postural testing in patients with bilateral vestibulär paresis. In: Motta G (ed). The new frontiers of otorhinolary ngology in Europe. Monduzzi ed, Bologna, pp 369–363Google Scholar
  13. 13.
    Compere WE (1968) Electronystagmographic findings in patients with “whiplash” injury. Laryngoscope 78:1226–1233PubMedCrossRefGoogle Scholar
  14. 14.
    De Jong JMBV, Bles W (1986) Cervical dizziness and ataxia. In: Bles W, Brandt T (eds). Disorders of posture and gait. Elsevier, Amsterdam, pp 185–206Google Scholar
  15. 15.
    Diener HC, Dichgans J, Guschlbauer B, Mau H (1984) The significance of proprioception on postural stabilization assessed by ischemia. Brain Res 296:103–109PubMedCrossRefGoogle Scholar
  16. 16.
    Elliot FE (1964) Clinical neurology. WB Saunders, PhiladelphiaGoogle Scholar
  17. 17.
    Franchignoni FP, Castelnuovo P, Mevio E, Vanni C, Liverani F (1985) Etude électronystagmographique et posturographique de la nevrite vestibulaire. In: Hausler R (ed). Les vertiges d’origine peripherique et centrale. Ipsen Publ, Paris, pp 175–177Google Scholar
  18. 18.
    Fukuda T (1961) Studies on human dynamic postures from the viewpoint of postural reflexes. Acta Otolaryngol [Suppl 161]: 1–52Google Scholar
  19. 19.
    Gagey PM, Baron JB, Ushio N (1980) Introduction à la posturologie clinique. Aggressologie 21:119–123Google Scholar
  20. 20.
    Gagey PM (1986) Huit lecons de posturologie. Association Francaise de Posturologie, ParisGoogle Scholar
  21. 21.
    Ghilardi PL, Casani A (1989) Approccio posturografico alla vertigine di origine cervicale. Atti LXXVI Congresso Naz SIO, Rieti 24–27 maggio, pp 383–387Google Scholar
  22. 22.
    Ghilardi PL, Fattori B, Casani A, Piragine F (1990) La posturografia nei deficit unilaterali vestibolari periferici. Acta Otorhinol Ital 10:347–346Google Scholar
  23. 23.
    Ghilardi PL, Fattori B, Casani A, Vatteroni UR, Capetta M (1991) L’ utilizzo del Head Shaking Test nella diagnostica posturografica. Acta Otorhinol Ital 11:571–577Google Scholar
  24. 24.
    Ghilardi PL, Fattori B, Casani A (1994) Vascular and neoplastic pathologies of the posterior cranial fossa: the role of otoneurology in clinical diagnosis. In: Cesarani A, Alpini D (eds). Equilibrium disorders. Brainstem and cerebellar pathology. Springer-Verlag, Milano, Berlin, pp 106–124Google Scholar
  25. 25.
    Greiner GF, Conraux C, Collard M (1971) Le nystagmus d’origine cervical. Mise en evidence et interet clinique. Ann Otolaryngol 88:151–167Google Scholar
  26. 26.
    Guidetti G (1989) Stabilometria clinica. Amplifon Edizioni, MilanoGoogle Scholar
  27. 27.
    Hinoki M, Niki H (1975) Neurotological studies on the role of the sympathetic nervous System in the formation of traumatic of vertigo of cervical origin. Acta Otolaryngol [Suppl 330]: 185–196Google Scholar
  28. 28.
    Hinoki M (1985) Vertigo due to whiplash injury: a neurotological approach. Acta Otolaryngol [Suppl 419]:9–29Google Scholar
  29. 29.
    Hirosaka O, Maeda M (1972) Cervical effects on abducens motoneurons and their interactions with vestibulo-ocular reflex. Exp Brain Res 18:512–530Google Scholar
  30. 30.
    Jongkees LBW (1969) Cervical vertigo. Laryngoscope 79:1473–1484PubMedCrossRefGoogle Scholar
  31. 31.
    Jongkees LBW (1983) Whiplash examination. Laryngoscope 93:113–114PubMedCrossRefGoogle Scholar
  32. 32.
    Hülse M (1983) Die zervicalen gleichgewichtsstörungen. Springer, BerlinCrossRefGoogle Scholar
  33. 33.
    Kaga H, Maeda H, Marsh RR (1983) The effect of optical reversal on Standing posture to be used as a Screening test. Agressologie 24(2):777–778Google Scholar
  34. 34.
    Mergner T, Anastasopoulos D, Becker W (1982) Neuronal responses to horizontal neck deflection in the group X region of the cat’s medullary brainstem. Exp Brain Res 45:146–206Google Scholar
  35. 35.
    Nakagawa H, Ohashi N, Watanabe Y, Mizukoshi K (1993) The contribution of proprioception in posture control in normal subjects. Acta Otolaryngol [Suppl 504]: 112–116Google Scholar
  36. 36.
    Norré ME, Stevens A (1987) Cervical vertigo. Diagnostic and semiological Problems with special emphasis upon “cervical nystmus”. Acta ORL Belg 41:436–452Google Scholar
  37. 37.
    Norre ME, Forrez G, Stevens A, Beckers A (1987) Cervical vertigo diagnosed by posturography? Preliminar report. Acta ORL Belg 41:574–582Google Scholar
  38. 38.
    Norré ME (1990) Posture in otoneurology. Acta ORL Belg 44:183–363Google Scholar
  39. 39.
    Oosterveld WJ, Kortschot HW, Kingma GG, de Jong HAA, Saatci MR (1991) Electronystagmographic findings following cervical whiplash injuries. Acta Otolayngol 111:201–205CrossRefGoogle Scholar
  40. 40.
    Pfaltz CR (1984) Vertigo in the disorders of the neck. In: Dix MR, Hood JD (eds). Vertigo. John Wiley and Sons, ChicesterGoogle Scholar
  41. 41.
    Roberts TDM (1967) Neurophysiology of postural mechanism. Ist ed, Butterwoths, LondonGoogle Scholar
  42. 42.
    Roberts TDM (1973) Reflex balance. Nature 244:158–185CrossRefGoogle Scholar
  43. 43.
    Rubin AM, Young JH, Milne AC (1975) Vestibularneck Integration in vestibulär nuclei. Brain Res 96:99–102PubMedCrossRefGoogle Scholar
  44. 44.
    Rubin W (1973) Whiplash with vestibulär involvement. Arch Otolaryngol 97:85–87PubMedCrossRefGoogle Scholar
  45. 45.
    Rubin W (1993) Differential diagnosis of disorders causing dizziness. Am J Otol 14:309–312PubMedGoogle Scholar
  46. 46.
    Scherer H (1985) Halsdebingter Schwindel. Arch Oto Rhino Laryngol [Suppl II]: 107–124Google Scholar
  47. 47.
    Sturzenegger M, DiStefano G, Radanov B, Schnidrig A (1994) Presenting Symptoms and signs after whiplash injury: the influence of accident mechanisms. Neurology 44:688–693PubMedCrossRefGoogle Scholar
  48. 48.
    Taguki K (1978) Spectral analysis of the movement of the center of gravity in vertiginous and ataxic patients. Agressologie 19B:69–70Google Scholar
  49. 49.
    Toglia JU (1976) Acute flexionextension injury of the neck: electronystagmographic study of 309 patients. Neurology 26:808–814PubMedCrossRefGoogle Scholar
  50. 50.
    Tokita T, Maeda M, Miyata H (1981) The role of the labyrinth in Standing posture regulation. Acta Otolaryngol 91:521–527PubMedCrossRefGoogle Scholar
  51. 51.
    Vicini C, Rasi F, Valzania F, Neri W (1987) Alterazioni stabilometriche a seguito di attivazione cervicale statica e dinamica. Valori normativi e risultati preliminari nelle patologie del rachide cervicale. In: Di Marco A and Rumiano C (eds). Alterazioni del controllo posturale in etä evolutiva e patologie del rachide. Ed Scient Cuzzolin, AvellinoGoogle Scholar
  52. 52.
    Yoneda S, Tokumasu K (1986) Frequency analysis of body sway in the upright posture. Acta Otolaryngol 102:87–92PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 1996

Authors and Affiliations

  • P. L. Ghilardi
    • 1
  • A. Casani
    • 1
  • B. Fattori
    • 1
  1. 1.Institute of OtorhinolaryngologyUniversity of PisaPisaItaly

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