TAILIEUCHUNG - Báo cáo y học: " Post-traumatic upper cervical subluxation visualized by MRI: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Post-traumatic upper cervical subluxation visualized by MRI: a case report. | Chiropractic Osteopathy BioMed Central Open Access Case report Post-traumatic upper cervical subluxation visualized by MRI a case report James Demetrious1 2 Address 1 Private 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 Chiropractic Osteopathy 2007 15 20 doi 1746-1 340-15-20 Accepted 19 December 2007 This article is available from http 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 http licenses by 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 For many years chiropractors have utilized x-ray to assess spinal alignment perform biomechanic assessments and

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