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1: Chiropr Osteopat. 2007 Dec 19;15:20.Click here to read Click here to read Links

Post-traumatic upper cervical subluxation visualized by MRI: a case report.

Demetrious J.

Private practice, Wilmington, NC, USA. jdemetrdc@aol.com.

ABSTRACT: 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.

PMID: 18093309 [PubMed - in process]

PMCID: PMC2253541