[The implications of cervical spine degenerative and traumatic diseases in the pathogenesis of cervical vertigo and hearing loss].
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.
Cobzeanu
M D
MD
Facultatea de Medicină, Clinica O.R.L., Universitatea de Medicină si Farmacie "Gr.T Popa" Iaşi.
Rusu
Daniela
D
Moraru
R
R
Boboc
Andreea
A
Hănţăscu
I
I
Imbrea
Alice
A
Stratulat
S
S
Gheorghe
Liliana
L
Indrei
Anca
A
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