Carmen Bécares-Martínez1,2, Aurora López-Llames3, Alberto Martín-Pagán4, Antonio Enrique Cores-Prieto4, Marta Arroyo-Domingo5, Jaime Marco-Algarra6,7, María Morales-Suárez-Varela6,8. 1. Department of Otolaryngology, Hospital Universitario de Torrevieja, Torrevieja, Spain. c.bec.mar@gmail.com. 2. University of Valencia, Valencia, Spain. c.bec.mar@gmail.com. 3. Department of Otolaryngology, Hospital Universitario de Torrevieja, Torrevieja, Spain. 4. Department of Radiology, Hospital Universitario de Torrevieja, Torrevieja, Spain. 5. Department of Otolaryngology, Hospital Universitario Reina Sofía de Murcia, Murcia, Spain. 6. University of Valencia, Valencia, Spain. 7. Department of Otolaryngology, Hospital Clínico Universitario de Valencia, Valencia, Spain. 8. Unit of Public Health and Environmental Care, Department of Preventive Medicine, CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Abstract
OBJECTIVE: The purpose of this study is to investigate the role of cervical radiography in the study of patients with vertigo and dizziness. PATIENTS: 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. METHODS: 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. RESULTS: 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%. CONCLUSIONS: 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.
OBJECTIVE: The purpose of this study is to investigate the role of cervical radiography in the study of patients with vertigo and dizziness. PATIENTS: 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. METHODS: 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. RESULTS: 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%. CONCLUSIONS: 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.
Authors: C Becares-Martinez; A Lopez-Llames; M M Arroyo-Domingo; J Marco-Algarra; M M Morales Suarez-Varela Journal: Rev Neurol Date: 2019-04-16 Impact factor: 0.870
Authors: Thomas Lempert; Jes Olesen; Joseph Furman; John Waterston; Barry Seemungal; John Carey; Alexander Bisdorff; Maurizio Versino; Stefan Evers; David Newman-Toker Journal: J Vestib Res Date: 2012 Impact factor: 2.435
Authors: Carmen Bécares Martínez; Marta M Arroyo Domingo; Aurora López Llames; Jaime Marco Algarra; María M Morales Suárez-Varela Journal: Acta Otorrinolaringol Esp (Engl Ed) Date: 2017-10-13