Tune in to this case study involving a patient who experienced vertigo after flexing his head forward while using a urinal. The video provides a detailed walkthrough of the diagnostic process, highlighting the importance of differentiating between vestibular and cervicogenic causes of vertigo.

Dr. Keiser explains how we ruled out vestibular issues by conducting tests for nystagmus (involuntary eye movements) during head flexion. He then focuses on the cervicogenic component, where spinal cord compression due to stenosis (narrowing of the spinal canal) can lead to dizziness and imbalance in certain head positions. flexing the head forward can cause fluid accumulation and irritation of the spinal cord, leading to vertigo-like symptoms. Dr. Keiser also discusses other potential indicators of cervicogenic vertigo, such as changes in bowel and bladder function.

Through this case study, we hope to show the diagnostic approach for positional vertigo, while emphasizing the importance of considering both vestibular and cervicogenic factors!

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