Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report

Eric Chun-Pu Chu,1 Arnold Yu-Lok Wong2 1New York Chiropractic and Physiotherapy Centre, Hong Kong SAR, People’s Republic of China; 2Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of ChinaCorrespondence: Eric Chun-Pu ChuNew York Chiroprac...

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Autores principales:	Chu ECP, Wong AYL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	anterolisthesis cervical kyphosis cervicogenic dizziness children excessive smartphone use neck pain Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/9582c2a4d83c44d8b55486ad09cc47ef
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spelling	oai:doaj.org-article:9582c2a4d83c44d8b55486ad09cc47ef2021-11-25T18:55:29ZCervicogenic Dizziness in an 11-Year-Old Girl: A Case Report1179-318Xhttps://doaj.org/article/9582c2a4d83c44d8b55486ad09cc47ef2021-11-01T00:00:00Zhttps://www.dovepress.com/cervicogenic-dizziness-in-an-11-year-old-girl-a-case-report-peer-reviewed-fulltext-article-AHMThttps://doaj.org/toc/1179-318XEric Chun-Pu Chu,1 Arnold Yu-Lok Wong2 1New York Chiropractic and Physiotherapy Centre, Hong Kong SAR, People’s Republic of China; 2Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of ChinaCorrespondence: Eric Chun-Pu ChuNew York Chiropractic and Physiotherapy Centre, 41/F Langham Place Office Tower, 8 Argyle Street, Hong Kong SAR, People’s Republic of ChinaTel +852-3594-7844Fax +852-3594-6193Email eric@nymg.com.hkAbstract: Cervicogenic dizziness (CGD) is a syndrome of neck pain accompanied by a false sensation of unsteadiness and dizziness due to neck pathology. An 11-year-old girl presented with neck pain and dizziness for four months. According to the patient’s statement, her complaints were likely related to the prolonged smartphone use for texting. Sagittal radiograph showed cervical kyphosis, anterior wedging of several vertebrae, and mild anterolisthesis of C2 on C3 and C3 on C4. These findings might be present in as physiological variants in children. However, continuous static stress in the minor variants could aggravate biomechanical problems, such as cervicogenic dizziness. After ruling out other neurological or vestibular problems, a multicomponent approach consisted of thermal ultrasound therapy, cervical manipulation, and intermittent motorized cervicothoracic traction to release cervical complaints. Three months later, the patient reported a resolution of neck pain and dizziness. At 12-month follow-up, all radiographic metrics showed improvement, including restoration of cervical alignment and lordotic curvature. The immature growing cervical spine has unique anatomic, physiologic and biomechanical features. A static neck flexion can lead to typical injury patterns seen in this age group. This article aims to raise awareness of the potential harms of excessive smartphone use by children.Keywords: anterolisthesis, cervical kyphosis, cervicogenic dizziness, children, excessive smartphone use, neck painChu ECPWong AYLDove Medical Pressarticleanterolisthesiscervical kyphosiscervicogenic dizzinesschildrenexcessive smartphone useneck painPediatricsRJ1-570ENAdolescent Health, Medicine and Therapeutics, Vol Volume 12, Pp 111-116 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anterolisthesis cervical kyphosis cervicogenic dizziness children excessive smartphone use neck pain Pediatrics RJ1-570
spellingShingle	anterolisthesis cervical kyphosis cervicogenic dizziness children excessive smartphone use neck pain Pediatrics RJ1-570 Chu ECP Wong AYL Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report
description	Eric Chun-Pu Chu,1 Arnold Yu-Lok Wong2 1New York Chiropractic and Physiotherapy Centre, Hong Kong SAR, People’s Republic of China; 2Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of ChinaCorrespondence: Eric Chun-Pu ChuNew York Chiropractic and Physiotherapy Centre, 41/F Langham Place Office Tower, 8 Argyle Street, Hong Kong SAR, People’s Republic of ChinaTel +852-3594-7844Fax +852-3594-6193Email eric@nymg.com.hkAbstract: Cervicogenic dizziness (CGD) is a syndrome of neck pain accompanied by a false sensation of unsteadiness and dizziness due to neck pathology. An 11-year-old girl presented with neck pain and dizziness for four months. According to the patient’s statement, her complaints were likely related to the prolonged smartphone use for texting. Sagittal radiograph showed cervical kyphosis, anterior wedging of several vertebrae, and mild anterolisthesis of C2 on C3 and C3 on C4. These findings might be present in as physiological variants in children. However, continuous static stress in the minor variants could aggravate biomechanical problems, such as cervicogenic dizziness. After ruling out other neurological or vestibular problems, a multicomponent approach consisted of thermal ultrasound therapy, cervical manipulation, and intermittent motorized cervicothoracic traction to release cervical complaints. Three months later, the patient reported a resolution of neck pain and dizziness. At 12-month follow-up, all radiographic metrics showed improvement, including restoration of cervical alignment and lordotic curvature. The immature growing cervical spine has unique anatomic, physiologic and biomechanical features. A static neck flexion can lead to typical injury patterns seen in this age group. This article aims to raise awareness of the potential harms of excessive smartphone use by children.Keywords: anterolisthesis, cervical kyphosis, cervicogenic dizziness, children, excessive smartphone use, neck pain
format	article
author	Chu ECP Wong AYL
author_facet	Chu ECP Wong AYL
author_sort	Chu ECP
title	Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report
title_short	Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report
title_full	Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report
title_fullStr	Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report
title_full_unstemmed	Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report
title_sort	cervicogenic dizziness in an 11-year-old girl: a case report
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/9582c2a4d83c44d8b55486ad09cc47ef
work_keys_str_mv	AT chuecp cervicogenicdizzinessinan11yearoldgirlacasereport AT wongayl cervicogenicdizzinessinan11yearoldgirlacasereport
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Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report

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