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Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report

Cervicogenic dizziness is a sensation of disequilibrium caused by abnormal afferent activity from the neck. Its diagnosis and treatment are challenging. In a case of cervicogenic dizziness, we performed diagnostic upper cervical medial branch nerve blocks with near complete symptomatic relief for ar...

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Detalles Bibliográficos
Autores principales: Zhu, Xiaoying, Grover, Michael J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862008/
https://www.ncbi.nlm.nih.gov/pubmed/29611830
http://dx.doi.org/10.1213/XAA.0000000000000717
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author Zhu, Xiaoying
Grover, Michael J.
author_facet Zhu, Xiaoying
Grover, Michael J.
author_sort Zhu, Xiaoying
collection PubMed
description Cervicogenic dizziness is a sensation of disequilibrium caused by abnormal afferent activity from the neck. Its diagnosis and treatment are challenging. In a case of cervicogenic dizziness, we performed diagnostic upper cervical medial branch nerve blocks with near complete symptomatic relief for around 20 hours. Radiofrequency ablation of these nerves resulted in near complete relief for 7 months. Subsequent repeat ablations provided the same relief lasting for 6–10 months. This case suggests that upper cervical medial branch block can serve as a diagnostic test for cervicogenic dizziness, and radiofrequency ablation of these nerves might be an effective treatment.
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spelling pubmed-58620082018-03-28 Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report Zhu, Xiaoying Grover, Michael J. A A Pract Case Reports Cervicogenic dizziness is a sensation of disequilibrium caused by abnormal afferent activity from the neck. Its diagnosis and treatment are challenging. In a case of cervicogenic dizziness, we performed diagnostic upper cervical medial branch nerve blocks with near complete symptomatic relief for around 20 hours. Radiofrequency ablation of these nerves resulted in near complete relief for 7 months. Subsequent repeat ablations provided the same relief lasting for 6–10 months. This case suggests that upper cervical medial branch block can serve as a diagnostic test for cervicogenic dizziness, and radiofrequency ablation of these nerves might be an effective treatment. Wolters Kluwer Health, Inc 2018-03-15 2018-01-15 /pmc/articles/PMC5862008/ /pubmed/29611830 http://dx.doi.org/10.1213/XAA.0000000000000717 Text en Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Reports
Zhu, Xiaoying
Grover, Michael J.
Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report
title Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report
title_full Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report
title_fullStr Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report
title_full_unstemmed Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report
title_short Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report
title_sort cervicogenic dizziness successfully treated with upper cervical medial branch nerve radiofrequency ablation: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862008/
https://www.ncbi.nlm.nih.gov/pubmed/29611830
http://dx.doi.org/10.1213/XAA.0000000000000717
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