title: [The implications of cervical spine degenerative and traumatic diseases in the pathogenesis of cervical vertigo and hearing loss].
abstract: OBJECTIVE
  Cervical spine together with vestibular system,visual system and proprioceptive afferents plays an important role in mentaining balance. Spine damage causes distortions in transmitting informations to the brain,favoring vertigo.
  
  
  METHODS
  The authors point out the occurrence of positional vertigo on 23 patients (20 patients with cervical spondylosis and 3 patients with cervical spine injury) due to blood flow disturbance through vertebral artery.
  
  
  RESULTS
  The mechano-receptors located in intervertebral disks and cervical spine muscles are activated by column movement. Changes of blood flow in the vertebral and basilar arteries are showed up by cervical X-Rays, intracranial Doppler ultrasound or angio-MRI, an audiogram marking out the degree of hearing loss or tinnitus occurence. ENT complex treatment outcomes are analyzed and balneo-physio-therapy performed in order to improve vertigo and hearing loss.
  
  
  CONCLUSIONS
  Stress beside muscle overload and cervical spine injures causes alteration in the ear blood-flow circulation that leads to hearing loss, vertigo and tinnitus. It emphasies the need for collaboration between balneologist and ENT specialist in solving balance and hearing disorders with cervicogenic cause.
authors.affiliation: Facultatea de Medicină, Clinica O.R.L., Universitatea de Medicină si Farmacie "Gr.T Popa" Iaşi.
authors.forename: M D
authors.initials: MD
authors.lastname: Cobzeanu
authors.forename: Daniela
authors.initials: D
authors.lastname: Rusu
authors.forename: R
authors.initials: R
authors.lastname: Moraru
authors.forename: Andreea
authors.initials: A
authors.lastname: Boboc
authors.forename: I
authors.initials: I
authors.lastname: Hănţăscu
authors.forename: Alice
authors.initials: A
authors.lastname: Imbrea
authors.forename: S
authors.initials: S
authors.lastname: Stratulat
authors.forename: Liliana
authors.initials: L
authors.lastname: Gheorghe
authors.forename: Anca
authors.initials: A
authors.lastname: Indrei
mesh_terms: D001299:Audiometry; D001452:Balneology; D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D034381:Hearing Loss / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011859:Radiography; D012189:Retrospective Studies; D055009:Spondylosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014012:Tinnitus / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D014463:Ultrasonography; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D014717:Vertigo / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy