Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19938
  Title Post-traumatic upper cervical subluxation visualized by MRI: A case report
Journal Chiropr & Osteopat. 2007 ;15(20):Online access only
Peer Review Yes
Publication Type Case Report
Abstract/Notes BACKGROUND: This paper describes MRI findings of upper cervical subluxation due to alar ligament disruption following a vehicular collision. Incidental findings included the presence of a myodural bridge and a spinal cord syrinx. Chiropractic management of the patient is discussed.

CASE PRESENTATION: A 21-year old female presented with complaints of acute, debilitating upper neck pain with unremitting sub-occipital headache and dizziness following a vehicular collision. Initial emergency department and neurologic investigations included x-ray and CT evaluation of the head and neck. Due to persistent pain, the patient sought chiropractic care. MRI of the upper cervical spine revealed previously unrecognized clinical entities.

CONCLUSION: This case highlights the identification of upper cervical ligamentous injury that produced vertebral subluxation following a traumatic incident. MRI evaluation provided visualization of previously undetected injury. The patient experienced improvement through chiropractic care.

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