• Stewart A

• Gonstead Technique
• Infant
• Manipulation, Chiropractic
• Syncope, Vasovagal

Objective: To present a case report which describes a reduction in the clinical episodes of neurogenic neurogenic (vaso-vagal) syncope in a 22 month old female under chiropractic management, and to provide the reader with information to assist in management of paediatric syncope in the chiropractic clinic.

Clinical Features: A 22 month old female presented for assessment regarding recurrent, spontaneous loss of consciousness occurring since 16 months age. Thorough medical testing had revealed no pathology, and a presumptive diagnosis of neurogenic (vaso-vagal) syncope had been made. On examination an upper cervical subluxation was diagnosed using defined and reproducible criteria. 

Intervention and Outcome: A specific chiropractic adjustment was applied, resulting in an immediate reduction in the number of the syncopic episodes. A later relapse occurred, with repeated adjustment, leading to continued reduction in the number of episodes. 

Conclusions: Chiropractic management resulted in a reduction in the frequency of syncope episodes in a 22 month female. Further studies are required to elucidate possible mechanisms for the resolution in this case. Clinical management strategies are discussed to assist the chiropractor with clinical decision making in the child with syncope.

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