PDF(Pubmed)
Abstract：
BACKGROUND: Vertigo is the most common clinical complaint, misdiagnosed patients are not rare, so it is very important to exclude and identify vertigo. For vertigo caused by multiple causes, including cervical vertigo with atlantoaxial rotation fixation combined with benign paroxysmal positional vertigo (BPPV), tuina can correct joint misalignment. The reduction technique will return the fallen otolith to the correct position. The use of massage and reduction can improve clinical symptoms and improve quality of life and may be a simple, safe, and effective treatment strategy for this disease.
METHODS: We report on a patient with both cervical vertigo due to atlantoaxial rotational fixation and BPPV, including his imaging examination, clinical manifestations, and treatment methods.
METHODS: Cervical vertigo (atlantoaxial rotatory fixation) and BPPV.
METHODS: Tuina combined with atlantoaxial directional inverted reduction technique and reduction manipulation.
RESULTS: The patient\'s vertigo symptoms improved significantly, nystagmus disappeared, cervical occipital pain, nausea, head distension, and other symptoms disappeared, and cervical motion rotation reached 60°.
CONCLUSIONS: This study proved the effectiveness of massage combined with a reduction in the treatment of cervical vertigo and BPPV, as well as the importance of vertigo diagnosis and differential diagnosis, and provided a new treatment idea for the future diagnosis and treatment of vertigo caused by a variety of causes.
METHODS: We report on a patient with both cervical vertigo due to atlantoaxial rotational fixation and BPPV, including his imaging examination, clinical manifestations, and treatment methods.
METHODS: Cervical vertigo (atlantoaxial rotatory fixation) and BPPV.
METHODS: Tuina combined with atlantoaxial directional inverted reduction technique and reduction manipulation.
RESULTS: The patient\'s vertigo symptoms improved significantly, nystagmus disappeared, cervical occipital pain, nausea, head distension, and other symptoms disappeared, and cervical motion rotation reached 60°.
CONCLUSIONS: This study proved the effectiveness of massage combined with a reduction in the treatment of cervical vertigo and BPPV, as well as the importance of vertigo diagnosis and differential diagnosis, and provided a new treatment idea for the future diagnosis and treatment of vertigo caused by a variety of causes.
摘要：
背景：眩晕是最常见的临床主诉，误诊患者并不罕见，因此排除和识别眩晕是非常重要的。对于由多种原因引起的眩晕，包括颈性眩晕与寰枢椎旋转固定术合并良性阵发性位置性眩晕（BPPV），推拿可以纠正关节错位。减少技术将使掉落的耳石返回到正确的位置。使用按摩和复位可以改善临床症状，提高生活质量，安全,和有效的治疗策略。
方法：我们报告了一例由于寰枢关节旋转固定和BPPV引起的颈性眩晕患者，包括他的影像检查,临床表现，和治疗方法。
方法：颈性眩晕（寰枢椎旋转固定术）和BPPV。
方法：推拿结合寰枢椎定向倒置复位技术和复位手法。
结果：患者的眩晕症状明显改善，眼球震颤消失了,颈枕疼痛,恶心,头部扩张,其他症状消失了,颈椎运动旋转达到60°。
结论：这项研究证明了按摩结合减少治疗颈性眩晕和BPPV的有效性，以及眩晕诊断和鉴别诊断的重要性，为今后各种病因引起的眩晕的诊治提供了新的治疗思路。
方法：我们报告了一例由于寰枢关节旋转固定和BPPV引起的颈性眩晕患者，包括他的影像检查,临床表现，和治疗方法。
方法：颈性眩晕（寰枢椎旋转固定术）和BPPV。
方法：推拿结合寰枢椎定向倒置复位技术和复位手法。
结果：患者的眩晕症状明显改善，眼球震颤消失了,颈枕疼痛,恶心,头部扩张,其他症状消失了,颈椎运动旋转达到60°。
结论：这项研究证明了按摩结合减少治疗颈性眩晕和BPPV的有效性，以及眩晕诊断和鉴别诊断的重要性，为今后各种病因引起的眩晕的诊治提供了新的治疗思路。
