Otolith or cervical spondylosis?

Otolith and cervical spondylosis are two different diseases, but sometimes there may be some similar symptoms, resulting in easy confusion, which needs to be judged from symptoms, pathogenesis, diagnosis and so on. 1. Symptoms Otolith is mainly manifested as sudden transient vertigo when the head position changes, such as getting up, turning over, lowering the head, raising the head and other actions, vertigo is usually more intense, but the duration is very short, generally no more than one minute, may be accompanied by nausea, vomiting, etc. Vertigo caused by cervical spondylosis is often related to neck activity or posture, but the degree of vertigo may be relatively mild, lasting for a long time, and may also be accompanied by neck pain, stiffness, upper limb numbness and other symptoms. Cervical spondylosis is due to cervical spondylosis, such as disc herniation, hyperosteogeny, compression or stimulation of vertebral artery, nerve root and so on caused by a series of symptoms, including vertigo. 3. The diagnosis of otolith mainly depends on specific body position tests, such as Dix-Hallpike test, Roll test, etc., by observing whether the patient has vertigo and nystagmus under specific body positions. The diagnosis of cervical spondylosis needs to be judged comprehensively by combining clinical symptoms, signs and imaging examinations.