Reflections on a patient misdiagnosed with cervicogenic vertigo combined with vestibular neuritis vertigo
This article reviews the diagnosis and treatment process of a patient with vertigo.The patient reported diz-ziness when she came to the hospital,and a prior MR1 indicated cervical spondylosis.Consequently,her condition was treat-ed as vertigo disease,a Qi and blood deficiency syndrome,with acupuncture.However,the therapeutic effects were limited.A complementary physical examination revealed the Romberg sign(+),and a posterior vestibular function examination indi-cated that the patient's left horizontal semicircular canal function was low.Considering the supplementary diagnosis of peripheral vestibular neuritis,the treating physician adjusted the acupuncture treatment plan but not routine drug therapy,and continued with vestibular rehabilitation training.After these treatments,the patient's symptoms improved.This case reflects the principle of using different treatments for the same disease in Chinese medicine.Although all treatments were categorized as traditional Chinese medicine therapies for vertigo disease,they involved different disease differentiation,clas-sification,and treatment methods.Moreover,the findings provide a reminder for clinicians to pay attention to medical history inquiry,physical examination,and differential diagnosis,to avoid missed diagnosis of causes.
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