Cervicogenic vertigo is defined as a sensation of rotation, resulting from an alteration of the neck proprioceptive afferents of the upper cervical spine. As a consequence of their association with the vestibular nucleus, patients frequently experience a sensation of rotation or falling when they turn or flex and extend their head. Nystagmus may be present but no other neurological deficits are typically found. Restrictions in joint play are commonly palpated in the upper cervical spine motion segments, in particular C1-C3. Although spinal manipulation to the involved segments has provided relief, consideration of other etiological factors is essential. This paper discusses the etiology, diagnosis, and management of cervicogenic vertigo. Three cases illustrating the typical presentation and management are included.
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