Revisión sobre el vértigo cervical

Resumen

Introducción y objetivo: Actualmente se mantiene el debate sobre el origen cervical del mareo. En esta revisión narrativa expondremos los mecanismos fisiopatológicos que intentan explicar este síndrome, a fin de comprender sus manifestaciones clínicas y facilitar la orientación diagnóstica y terapéutica de los pacientes. Material y método: Revisión narrativa. Resultados: Consideraremos que un paciente con mareo/desequilibrio y dolor de cuello tiene un mareo cervical, si se han eliminado otras causas (neurológicas, vestibulares, psicosomáticas) y, sobre todo, si responde a la fisioterapia cervical con reducción del dolor y del mareo. En función de la historia clínica, se enfocarán las exploraciones hacia el estudio del flujo sanguíneo vertebral, la evaluación oculográfica, el control postural o la observación de la posición subjetiva de las articulaciones. Discusión: La controversia sobre el origen cervical del mareo es debido en gran parte a la falta de una prueba específica de laboratorio que nos confirme el diagnóstico. Conclusiones: Ante un paciente con sintomatología sospechosa de vértigo cervical y una vez descartadas otras causas, iniciaremos un tratamiento, aunque desconozcamos los mecanismos subyacentes.
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Valda-Rodrigo, J., Benito-Orejas, J. I., & Alonso-vielba-varea, J. (2017). Revisión sobre el vértigo cervical. Revista ORL, 9(2), 97–104. https://doi.org/10.14201/orl.17191

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Biografía del autor/a

José Valda-Rodrigo

,
SACYL. Valladolid
Otorrinolaringólogo. Jubilado. Burgos.

José Ignacio Benito-Orejas

,
SACYL, Hospital Clínico Universitario de Valladolid, España
Licenciado Especialista de ORL del Hospital Clínico Universitario de Valladolid.

José Alonso-vielba-varea

,
SACYL. Valladolid
Otorrinolaringólogo. Actividad Privada. Valladolid.
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