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Post-traumatic upper cervical subluxation visualized by MRI a case report 英文参考文献
Chiropractic Osteopathy
BioMedCentral
Case report
Open Access
Post-traumatic upper cervical subluxation visualized by MRI: a case
report
James Demetrious1,2
Address: 1Private practice, Wilmington, NC, USA and 2Post-gradate faculty, New York Chiropractic College, Seneca Falls, NY, USA
Email: James Demetrious - jdemetrdc@
Published: 19 December 2007
Received: 27 August 2007
Accepted: 19 December 2007
Chiropractic Osteopathy 2007, 15:20
doi:10.1186/1746-1340-15-20
This article is available from: /content/15/1/20
? 2007 Demetrious; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Background
Magnetic resonance imaging provides a nearly unparal-
lel
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