Somatosensory Vertigo

  • Thomas Brandt
Chapter
Part of the Clinical Medicine and the Nervous System book series (CLIN.MED.NERV.)

Abstract

Cervical vertigo is unlike other vertigo syndromes, and has given rise to violent controversy. Neck afferents not only assist the coordination of eye, head and body, but also affect spatial orientation and control of posture. This implies that stimulation of, or lesions in, these structures could produce cervical vertigo. In fact, unilateral local anaesthesia of the upper dorsal cervical roots induces ataxia and nystagmus in animals, and ataxia without nystagmus in man. Cervical vertigo, if it exists outside these experimental conditions, is obviously characterised by ataxia and unsteadiness of gait rather than by a clear rotational or linear vertigo.

Keywords

Muscle Spindle Head Rotation Whiplash Injury Slow Phase Velocity Head Extension 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. Abrahams VC, Richmond FJR, Keane J (1984) Projections from C2 and C3 nerves supplying muscles and skin of the cat neck: a study using transganglionic transport of horseradish peroxidase. J Comp Neurol 230:142–154PubMedCrossRefGoogle Scholar
  2. Barnes GR, Forbat LN (1979) Cervical and vestibular afferent control of oculomotor response in man. Acta Otolaryngol 88:79–87PubMedCrossRefGoogle Scholar
  3. Barré JA (1926) Sur une syndrome sympathique cervical postérieur et sa cause fréquente: l’arthrite cervicale. Rev Neurol 45:1246–1253Google Scholar
  4. Bárány R (1906) Augenbewegungen, durch Thoraxbewegungen ausgelöst. Zbl Physiol 20:298–302 Bárány R (1918) Über einige Augen-und Halsmuskelreflexe bei Neugeborenen. Acta Otolaryngol (Stockh) 1:97–103CrossRefGoogle Scholar
  5. Bernard C (1865) An introduction to the study of experimental medicine, transi Greene HC. Collier Books, New York 1961Google Scholar
  6. Biemond A (1939) On a new form of experimental position nystagmus in the rabbit and its clinical value. Proc Kon Ned Akad Wet 42:370–375Google Scholar
  7. Biemond A (1940) Further observations about the cervical form of positional-nystagmus and its anatomical base. Proc Kon Ned Akad Wet 43:901–906Google Scholar
  8. Biemond A, de Jong JMBV (1969) On cervical nystagmus and related disorders. Brain 92:437–458PubMedCrossRefGoogle Scholar
  9. Bikeles F, Ruttin E (1915) Über die reflektorischen kompensatorischen Augenbewegungen bei beiderseitiger Ausschaltung des N. vestibularis. Neurol Zbl 34:807–810Google Scholar
  10. Bles W (1981) Stepping around: Circularvection and Coriolis effect. In: Long JB, Baddeley AD (eds) Attention and performance, vol IX. Lawrence Erlbaum Associates, Hillsdale, pp 47–61Google Scholar
  11. Bles W, Klören Th, Büchele W, Brandt Th (1983) Somatosensory nystagmus: physiological and clinical aspects. Adv Oto Rhino Laryng 30:30–33Google Scholar
  12. Bles W, de Jong JMBV, Rasmussens J (1984) Postural and oculomotor signs in labyrinthine-detective subjects. Acta Otolaryngol (Stockh) Suppl 406:101–104Google Scholar
  13. Bos JH, Philipszoon AJ (1963) Some forms of nystagmus provoked by stimuli other than accelerations. Pract Oto-Rhino-Laryng 25:108–118Google Scholar
  14. Brady JP, Levitt EE (1964) Nystagmus as a criterion of hypnotically induced visual hallucinations. Science 146:85–86PubMedCrossRefGoogle Scholar
  15. Brandt Th (1988) Sensory function and posture. In: Amblard B, Berthoz A, Clarac F (eds) Posture and gait: development adaptation and modulation. Elsevier, Amsterdam, pp 127–136Google Scholar
  16. Brandt Th, Biichele W, Arnold F (1977) Arthrokinetic nystagmus and ego-motion sensation. Exp Brain Res 30:331–338PubMedCrossRefGoogle Scholar
  17. Brandt Th, Krafczyk S, Malsbenden J (1981) Postural imbalance with head extension: improvement by training as a model for ataxia therapy. Ann NY Acad Sci 374:636–349PubMedCrossRefGoogle Scholar
  18. Brandt Th, Büchele W, Krafczyk S (1986) Training effects on experimental postural instability: a model for clinical ataxia therapy. In: Bles W, Brandt Th (eds) Disorders of posture and gait. Elsevier, Amsterdam, pp 353–365Google Scholar
  19. Bronstein AM, Hood JD (1986) The cervico-ocular reflex in normal subjects and patients with absent vestibular funcdon. Brain Res 373:399–408PubMedCrossRefGoogle Scholar
  20. Chan YS, Kasper J, Wilson VJ (1987) Dynamics and directional sensitivity of neck muscle spindle responses to head rotation. J Neurophysiol 57:1716–1729PubMedGoogle Scholar
  21. Cohen LA (1961) Role of eye and neck proprioceptive mechanisms in body orientation and motor coordination. J Neurophysiol 24:1–11PubMedGoogle Scholar
  22. Collard M, Conraux C, Thiebaut MS, Thiebaut F (1967) Le nystagmus d’origine cervicale. Rev Neurol 117:677–688PubMedGoogle Scholar
  23. Compere WE (1968) Electronystagmographic findings in patients with “whiplash injuries”. Laryngoscope 78:1226–1233PubMedCrossRefGoogle Scholar
  24. Cooper S, Daniel PM (1963) Muscle spindles in man: their morphology in the lumbricals and the deep muscles of the neck. Brain 86:563–586PubMedCrossRefGoogle Scholar
  25. De Jong JMBV, Bles W (1986) Cervical dizziness and ataxia. In: Bles W, Brandt Th (eds) Disorders of posture and gait. Elsevier, Amsterdam, pp 185–206Google Scholar
  26. De Jong PTVM, de Jong JMBV, Cohen B, Jongkees LBW (1977) Ataxia and nystagmus induced by injection of local anesthetics in the neck. Ann Neurol 1:240–246PubMedCrossRefGoogle Scholar
  27. De Kleyn A (1921) Tonische Labyrinth-und Halsreflexe auf die Augen. Pflügers Arch Ges Physiol 186:82–97CrossRefGoogle Scholar
  28. De Kleyn A, Stenvers HW (1941) Tonic neck reflexes on the eye muscles in man. Proc Kon Ned Akad Wet 44:385–396Google Scholar
  29. Dichgans J, Bizzi E, Morasso P, Tagliasco V (1974) The role of vestibular and neck afferents during eye-head coordination in the monkey. Brain Res 71:225–232PubMedCrossRefGoogle Scholar
  30. Dodge R (1923) Thresholds of rotation. J Exp Psychol 6:107–137CrossRefGoogle Scholar
  31. Dutia MB, Hunter MJ (1985) The sagittal vestibulocollic reflex and its interaction with neck proprioceptive afferents in the decerebrate cat. J Physiol 359:17–29PubMedGoogle Scholar
  32. Erulkar SD, Sprague JM, Whitsel BL, Dogan S, Janetta PJ (1966) Organization of the vestibular projection to the spinal cord of the cat. J Neurophysiol 19:626–644Google Scholar
  33. Fischer MH (1927) Messende Untersuchungen über die Gegenrollung der Augen und die Lokalisation der scheinbaren Vertikalen bei seitlicher Neigung. Albrecht v Graefes Arch Ophthal 118:633–680CrossRefGoogle Scholar
  34. Fitz-Ritson D (1985) The direct connections of the C2 dorsal root ganglia in the Macaca irus monkey: relevance to the chiropractic profession. J Manipul Physiol Ther 8:147–156Google Scholar
  35. Frenzel H (1928) Rucknystagmus als Halsreflex und Schlagfeldverlagerung des labyrinthären Drehnystagmus durch Halsreflexe. Z Hals Nasen Ohrenheilk 21:177–187Google Scholar
  36. Fukuda T (1961) Studies on human dynamic postures from the viewpoint of postural reflexes. Acta Otolaryngol (Stockh) Suppl 161:1–52Google Scholar
  37. Gamper E (1926) Bau und Leistungen eines menschlichen Mittelhirnwesens (Arhinencephalie mit Encephalocele). Zugleich ein Beitrag zur Teratologie und Fasersystematik IL Klinischer Teil. Z Ges Neurol Psychiat 104:49–120CrossRefGoogle Scholar
  38. Ganz H, Fend J, Huth FW (1969) Versuche über audiokinetische Augenbewegungen. I. Binaurale Reizung bei Normalhörigen. Z Laryng Rhinol 49:625–636Google Scholar
  39. Gesell A (1938) The tonic neck reflex in human infant. J Pediat 13:455–464CrossRefGoogle Scholar
  40. Goodwin GM, McCloskey DI, Matthews PBC (1972) The contribution of muscle afferents to kinesthesia shown by vibration induced illusions of movement and by the effects of paralysing joint afferents. Brain 95:705–748PubMedCrossRefGoogle Scholar
  41. Gray LP (1956) Extra-labyrinthine vertigo due to cervical muscle lesions. J Laryngol 70:352–361Google Scholar
  42. Grigg P, Finerman GA, Riley LH (1973) Joint-position sense after total hip replacement. J Bone Jt Surg Am 55:1016–1025Google Scholar
  43. Giittich A (1940) Über den Antagonismus der Hals-und Bogengangsreflexe bei der Bewegung des menschlichen Auges. Arch Ohr Nasen Kehlk Heilk 147:1–4CrossRefGoogle Scholar
  44. Hennebert PE (1960) Nystagmus audiocinétique. Acta Otolaryngol (Stockh) 51:412–415CrossRefGoogle Scholar
  45. Hikosaka O, Maeda M (1973) Cervical effects on abducens motoneurons and their interaction with vestibulo-ocular reflex. Exp Brain Res 18:512–530PubMedCrossRefGoogle Scholar
  46. Hinoki M, Hine, Kada Y (1971) Neurological studies on vertigo due to whiplash injury. Equilib Res Suppl 1:5–29CrossRefGoogle Scholar
  47. Hinoki M, Kurosawa R (1964) Studies on vertigo provoked by neck and nape muscles. Notes on vertigo of cervical origin. Some observations on vertiginous attacks caused by injection of procaine solution into neck and nape muscles in man. Oto Rhino Laryngol Clin (Kyoto) 57:10–20Google Scholar
  48. Hinoki M, Terayama K (1966) Physiological role of neck muscles in the occurrence of optic eye nystagmus. Acta Otolaryngol 62:157–170PubMedCrossRefGoogle Scholar
  49. Hirai N, Hongo T, Sazaki S (1984) A physiological study of identification, axonal course and cerebellar projection of spinocerebellar tract cells in central cervical nucleus of the cat. Exp Brain Res 55:272–285PubMedGoogle Scholar
  50. Hoist E von, Mittelstaedt H (1950) Das Reafferenzprinzip (Wechselwirkungen zwischen Zentralnervensystem und Peripherie). Naturwissenschaften 37:464–476CrossRefGoogle Scholar
  51. Holtmann S (1988) Die Analyse zerviko-okulärer Reaktionen unter quantifizierten Reizbedingungen. Habilitationsschrift, MünchenGoogle Scholar
  52. Hülse M (1983) Die zervikalen Gleichgewichtsstörungen. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  53. Hyslop G (1952) Intra-cranial circulatory complication of injuries of the neck. Bull NY Acad Med 28:729–733Google Scholar
  54. Igarashi M, Alford BR, Watanabe T, Maxian PM (1969) Role of neck proprioceptors for the maintenance of dynamic bodily equilibrium in the squirrel monkey. Laryngoscope 79:1713–1727PubMedCrossRefGoogle Scholar
  55. Igarashi M, Miyata H, Alford BR, Wright WK (1972) Nystagmus after experimental cervical lesions. Laryngoscope 82:1609–1621PubMedCrossRefGoogle Scholar
  56. Illert M, Jankowska A, Lundberg A, Odutola A (1981) Integration in descending motor pathways controlling the forelimb in the cat. 7. Effects from the reticular formation on C3–4 propriospinal neurones. Exp Brain Res 42:269–281PubMedCrossRefGoogle Scholar
  57. Jonkees LBWC (1969) Cervical vertigo. Laryngoscope 79:1473–1484CrossRefGoogle Scholar
  58. Kotaka S, Croll GA, Bles W (1986) Somatosensory ataxia. In: Bles W, Brandt Th (eds) Disorders of posture and gait. Elsevier, Amsterdam, pp 178–183Google Scholar
  59. Lackner JR, Graybiel A (1974) Elicitation of vestibular side effects by regional vibration of the head. Aerospace Med 45:1267–1272PubMedGoogle Scholar
  60. Lindsay KW, Roberts TDM, Rosenberg JR (1976) Asymmetric tonic labyrinth reflexes and the interaction with neck reflexes in the decerebrate cat. J Physiol 261:583–601PubMedGoogle Scholar
  61. Longet FA (1845) Mémoroises sur les troubles qui surviennent dans l’équilibration, la station et al locomotion des animaux après la section des parties molles de la nuque. Gaz Med Paris 13:565–567Google Scholar
  62. Lorente de Né R (1926) Die Grundlagen der Labyrinthphysiologie. Skand Arch Physiol 49:251–311Google Scholar
  63. McCloskey DJ (1978) Kinesthetic sensibility. Physiol Rev 58:763–820PubMedGoogle Scholar
  64. McCouch GP, Deering ID, Ling TH (1951) Location of receptors for tonic neck reflexes. J Neurophysiol 14:191–195PubMedGoogle Scholar
  65. Magnus R (1924) Körperstellung. Springer, BerlinGoogle Scholar
  66. Magnus R, De Kleyn A (1912) Die Abhängigkeit des Tonus der Extremitätenmuskeln von der Kopfstellung. Pflügers Arch Ges Physiol 145:455–584CrossRefGoogle Scholar
  67. Manzoni D, Pompeiano O, Stampacchia G (1979) Cervical control of posture and movements. Brain Res 169:615–619PubMedCrossRefGoogle Scholar
  68. Mergner T, Anastasopoulos D, Becker W (1982) Neuronal responses to horizontal neck deflection in the group X region of the cat’s medullary brainstem. Exp Brain Res 45:196–206PubMedCrossRefGoogle Scholar
  69. Mergner T, Deecke L, Becker W, Kornhuber HH (1983) Vestibular-proprioceptive interactions: Neurophysiology and psychophysics. In: v Horn (ed) Fortschritte der Zoologie, Bd. 28. Multimodal convergences in sensory systems. Gustav Fischer, StuttgartGoogle Scholar
  70. Moser M (1974) Zervicalnystagmus und seine diagnostische Bedeutung. HNO 22:350–355PubMedGoogle Scholar
  71. Norré ME, Stevens A (1987) Cervical vertigo. Acta Oto Rhino Laryng Belg 41:436–452Google Scholar
  72. Ommaya AK, Faas, F, Yarnell P (1968) Whiplash injury and brain damage. J Am Med Assoc 204:285–289CrossRefGoogle Scholar
  73. Paulus W, Straube A, Brandt Th (1987) Visual postural performance after loss of somatosensory andvestibular function. J Neurol Neurosurg Psychiat 50:1542–1545PubMedCrossRefGoogle Scholar
  74. Peterson BW, Goldberg J, Bilotto G, Fuller JH (1985) Cervicocollic reflex: Its dynamic properties and interaction with vestibular reflexes. J Neurophysiol 54:90–109PubMedGoogle Scholar
  75. Richmond FJR, Bakker DA (1982) Anatomical organization and sensory receptor content of soft tissues surrounding upper cervical vertebrae in the cat. J Neurophysiol 48:49–61PubMedGoogle Scholar
  76. Roberts TDM (1973) Reflex balance. Nature 244:158–185CrossRefGoogle Scholar
  77. Rubin W (1973) Whiplash with vestibular involvement. Arch Otolaryngol 97:85–87PubMedCrossRefGoogle Scholar
  78. Schaltenbrand G (1925) Normale Bewegungs-und Lagereaktionen bei Kindern. Dtsch Z Nervenheilk 87:23–59CrossRefGoogle Scholar
  79. Scherer H (1985) Halsbedingter Schwindel. Arch Oto Rhino Laryngol Suppl 11:107–124Google Scholar
  80. Schubert K (1950) Schwindel und Sympathikus. Arch Ohr Nasen Kehlk Heilk 156:489–499CrossRefGoogle Scholar
  81. Stein V St (1910) Schwindel (Autokinesis externa et interna). Leipzig, LessierGoogle Scholar
  82. Stenvers HW (1924) Über die klinische Bedeutung der kompensatorischen Augenbewegungen bei Kopfdrehung. Z Ges Neurol Psychiat 92:484–486CrossRefGoogle Scholar
  83. Stenvers HW (1936) Haltungs-und Stützreflexe. In: Bumke D, Foerster O (eds) Handbuch der Neurologie, vol V/3. Allgemeine Neurologie, Springer, Berlin, pp 523–554Google Scholar
  84. Suzuki J, Takemori S (1971) Eye movement induced from the spinal nerves. Equilib Res Suppl 2:33–40CrossRefGoogle Scholar
  85. Taylor JL, McCloskey DI (1988) Proprioception in the neck. Exp Brain Res 70:351–360PubMedCrossRefGoogle Scholar
  86. Toglia JU (1976) Acute flexion-extension injury of the neck. Neurology (Minneap) 26:808–814Google Scholar
  87. Torres F, Shapiro SK (1961) Electroencephalograms in whiplash injuries. Arch Neurol (Chic) 5:28–35CrossRefGoogle Scholar
  88. Voss H (1958) Zahl und Anordnung der Muskelspindeln in den unteren Zungenbeinmuskeln, dem M. sternocleidomastoideus und den Bauch-und tiefen Nackenmuskeln. Anat Anz 105:265–275PubMedGoogle Scholar
  89. Wapner S, Werner H, Chandler KA (1951) Experiments on sensory-tonic field theory of perception. J Exp Psychol 42:341–345PubMedCrossRefGoogle Scholar
  90. Weeks V, Travelli J (1955) Postural vertigo due to trigger areas in sterno-cleidomastoid muscle. J Pediat 47:315–327PubMedCrossRefGoogle Scholar
  91. Weiland W (1912) Hals-und Labyrinthreflexe beim Kaninchen; ihr Einfluß auf den Muskeltonus und die Stellung der Extremitäten. Pflügers Arch Ges Physiol 147:1–27CrossRefGoogle Scholar
  92. Zangemeister WH, Stark L (1983) Pathological types of eye and head gaze coordination in neurological disorders. Neurol Ophthalmol 3:259–276CrossRefGoogle Scholar
  93. Zikmund V (1966) Oculomotor activity during visual imagery of a moving stimulus pattern. Stud Psychol (Praha) 8:254–272Google Scholar

Copyright information

© Springer-Verlag London Limited 1991

Authors and Affiliations

  • Thomas Brandt
    • 1
  1. 1.Klinikum GrosshadernLudwig-Maximilians-Universität MünchenMünchen 70Germany

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