Cervicogenic Dizziness Associated With Craniocervical Instability: A Case Report

Eric Chu (Corresponding Author), Fadi Mohammad Qassim Al Zoubi, Jian Yang

Research output: Journal article publicationJournal articleAcademic researchpeer-review


Cervicogenic dizziness (CGD) is a clinical syndrome characterized by an illusory sensation of motion and disequilibrium secondary to neck pathologies. Reported here is the case of a 40-year-old male presented with neck pain, dizziness, and aural symptoms in the past 12 months. The patient was previously diagnosed with Meniere's disease and treated with a low-sodium diet, betahistine and vestibular rehabilitation for 4 months, but the symptoms had not been relieved. Subsequently he sought out chiropractic evaluation. Radiographic clues illustrated a subtle anterolisthesis of the occiput on the cervical spine, manifested by a dissociation of the clivo-axial angle (CXA). After exclusion of other neurological, vascular and vestibular causes, craniocervical instability was considered as the cause of the CGD. He was treated with multi-component intervention consisting of spinal manipulation, intermittent motorized traction and ultrasound therapy to release cervical complaints. The patient reported salutary consequences to the 3-month treatment course with no neurologic sequelae. The current study serves as a vivid example of identifying CGD based on a subtle radiographic clue and by utilizing CXA as an assessment tool for craniocervical instability.
Original languageEnglish
Pages (from-to)451-454
JournalJournal of Medical Cases
Issue number11
Publication statusPublished - 5 Nov 2021


  • cervicogenic dizziness
  • Dizziness
  • chiropractic
  • Clivo-axial angle
  • Craniocervical instability


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