경추성 어지럼증의 진단과 치료

김주영; 김위황; 이장수; 오현명; 김대웅; 최동진

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자료유형: 학술저널

저자정보: 김주영 김위황 이장수 오현명 김대웅 최동진

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제58권 제3호

발행연도: 2015.1

수록면: 177 - 181 (5page)

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Background and Objectives Vertigo is an illusion of environmental movement due to various causes, thus it is hard for medical doctors to determine the exact kind of dizziness in the final diagnosis. Recently, cervical vertigo was reported from several vertigo cases. Cervical vertigo is defined as sensation of rotation, resulting from an alteration of the neck proprioceptive afferents of the upper cervical spine. The aim of our study is to document the clinical features and the treatment outcomes in vertigo patients with myofascial pain syndrome (MPS). Subjects and Method A total of 488 patients, excluding 18 patients who received other diagnosis, were examined to investigate the reasons for dizziness. We evaluated 34 patients, who were diagnosed with cervical vertigo by questionnaire after MPS treatments. Clinical evaluations for cervical vertigo were performed on all subjects, and vestibular function tests were also performed in patients with vertigo symptoms. All patients received a total of 4 treatments including trigger point injection, physical therapy or medication, and then followed up, respectively. The symptom changes of dizziness, patient satisfaction and cervical pain were checked before and treatment 1, 2, 4 times by Visual Analogue Scale (VAS) score. Results There were significant improvement in the VAS score of dizziness, patient satisfaction and cervical pain after treatment for MPS. Conclusion Treatment for MPS could improve dizziness in cervical vertigo with MPS patients, but further study is needed to clearly confirm the cervical vertigo with MPS for improving patient’s quality of life.

#Myofacial pain syndrome #Trigger point #Vertigo

참고문헌 (14)

참고문헌 신청

Bracher ES / 2000 / A combined approach for the treatment of cervical vertigo / J Manipulative Physiol Ther 23 (2) : 96 ~ 100

Brandt T / 2001 / Cervical vertigo / J Neurol Neurosurg Psychiatry 71 (1) : 8 ~ 12

Cummings M / 2007 / Regional myofascial pain: diagnosis and management / Best Pract Res Clin Rheumatol 21 (2) : 367 ~ 387

Dae Kyung Cho / 2011 / Myofascial Pain Syndrome in Patients with Cervical Vertigo / Annals of Rehabilitation Medicine 35 (2) : 243 ~ 249

Dieterich M / 2004 / Dizziness / Neurologist 10 (3) : 154 ~ 164

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김주영

소속기관 Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea