In some cases ligamental injuries of the upper cervical spine result in head-neck-joint instabilities which can cause vertigo. Instabilities of the head neck joint are affected by rupture or overstretching of the alar ligaments and/or capsule structures mostly caused by whiplash or similar biomechanical movements. If patients describe prolonged vertigo after a whiplash trauma, professionals should think about ligamental damage of head-neck-joint structures.
Symptoms during damaged alar ligaments besides vertigo often are
dizziness
reduced vigilance, such as somnolence
seeing problems, such as seeing "stars", tunnel views or double contures.
Some patients tell about unreal feelings that stands in correlation with:
depersonalisation and attentual alterations
Most medical professionals don't know about the disease complex of head-neck-joint instabilities. Often the patients are having an odyssey of medical consultations without any clear diagnosis and are then sent to psychatrist because doctors think about depression or hypochondry. Standard imaging technologies such as CAT or MRI are not capable of finding instabilities without taking functional poses.
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