Improvement in vestibular symptoms following cervical medial branch radiofrequency neurotomy: a case report suggesting cervicogenic mechanisms

This case report describes a patient with chronic neck pain and concurrent vestibular symptoms (dizziness, vertigo, tinnitus, and nausea) whose symptoms improved following cervical medial branch radiofrequency neurotomy. While radiofrequency neurotomy is an established treatment for cervical zygapophyseal joint-mediated pain, this case illustrates a temporal association between treatment of cervical pain and concurrent improvement in vestibular symptoms. These findings suggest a potential link between cervical facet pathology and vestibular dysfunction that warrants further investigation.

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Publication Details

Journal
Pain Management
Published
2026-05-11
DOI
https://doi.org/10.1080/17581869.2026.2672490
Primary Topic
Vestibular and auditory disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

Improvement in vestibular symptoms following cervical medial branch radiofrequency neurotomy: a case report suggesting cervicogenic mechanisms

Semih Güngör, Kristina Organista
Pain Management
Vestibular and auditory disorders
article

Improvement in vestibular symptoms following cervical medial branch radiofrequency neurotomy: a case report suggesting cervicogenic mechanisms

Semih Güngör, Kristina Organista
article en

Abstract

This case report describes a patient with chronic neck pain and concurrent vestibular symptoms (dizziness, vertigo, tinnitus, and nausea) whose symptoms improved following cervical medial branch radiofrequency neurotomy. While radiofrequency neurotomy is an established treatment for cervical zygapophyseal joint-mediated pain, this case illustrates a temporal association between treatment of cervical pain and concurrent improvement in vestibular symptoms. These findings suggest a potential link between cervical facet pathology and vestibular dysfunction that warrants further investigation.

Pain Management
Hospital for Special Surgery (US), Cornell University (US), Weill Cornell Medicine (US)
Good health and well-being
Openalex Percentile: Top 7%
Vestibular and auditory disorders
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