A new treatment for cervical vertigo with botulinum toxin

•A New Treatment for Dizziness with Botulinum Toxin.•Cervical vertigo and cervicogenic dizziness responds to chemodenervation with botulinum toxin.•Can cervical dystonia cause vertigo?•Botulinum toxin reduces neck muscle spasms and pain and normalizes sensory input resulting in improved dizziness.•Neck pain and vertigo improves with botulinum toxin. A new and unique treatment for cervical vertigo with botulinum toxin is presented for a woman who sustained neck trauma from being hit by a wave. A diagnosis of cervical vertigo and cervical dystonia was confirmed by history, physical exam, dystonia on EMG exam, and a negative test for benign paroxysmal positional vertigo. She experienced consistent resolution of her vertigo symptoms and pain after each treatment for a total of 5 treatments with botulinum toxin to the upper cervical muscles.This report appears to be the first to demonstrate the missing link between vertigo and cervical dystonia with pain. Chemodenervation was effective in treating cervical vertigo and is likely to have altered the cervical proprioceptive input by relaxing the overactive muscles and/or by decompression of cervical nerves.