Post-traumatic upper cervical subluxation visualized by MRI a case report 英文参考文献.docVIP

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