The current study utilized a case narrative for a 24-year-old woman with a BMI of 40.4 and at 26-weeks gestation with her first child. The patient had severe neck pain, migraine headaches, double vision, and tingling in her right hand.
She had an MRI done which was normal. She reported a history of asthma and head trauma from hitting her head on a pool deck two years ago. The patient had only been taking Tylenol PM and resting to relieve her symptoms. She rated her discomfort a 9 out of 10. Lastly, the patient reported that she was unable to drive and complete most activities of daily living without assistance.
During the initial examination, the doctor of chiropractic found severe misalignments in her upper back and neck. Edema and muscles spasms were found on the right side behind her head. Further testing indicated that the ileocecal valve (ICV; sphincter muscle that separates the small and large intestines) was involved.
The doctor of chiropractic adjusted the patient on the misaligned areas and a soft tissue pressure on the ICV. This care program was recommended to her for a total of eight visits over two weeks.
After the initial visit, the patient was able to sleep better, but she was still experiencing double vision. The doctor of chiropractic instructed her to apply kinesiotape to the back of her neck.
At the patient’s second visit, the doctor of chiropractic adjusted her neck and did some mild stretching. Pressure was applied to the ICV again. Before her third chiropractic visit, the patient visited her obstetrician who gave her the wrong nausea medication for her pregnancy which caused her to vomit and lose sleep. Additionally, her double vision had increased.
At the fourth visit, the doctor of chiropractic also found misalignments in her lower back. Therefore, the doctor of chiropractic provided the same care as the last visit, but also adjusted her lower back.
At the fifth visit, the patient had soreness from the adjustment but had improvements in her neck pain (7out of 10) and nausea. At the next four visits, the doctor of chiropractic performed a full spine adjustment, stretched her neck muscles, and massaged the back of her cranium. Her sleep had improved however, her double vision was not improving and she decided to see an optometrist.
At the patient’s eighth visit, she reported to the doctor of chiropractic that the optometrist had diagnosed her with a swelling of the optic nerve due to a pseudotumor of the cerebrum.
A neurosurgeon drained 20 cc of spinal fluid and prescribed a diuretic to reduce swelling. The patient reported full range of motion in her neck without pain but she now had severe headaches and could hear her own respiration in her ears.
The doctor of chiropractic changed the adjusting technique and frequency to accommodate her current needs. At the next visit, the patient said the ‘great blob’ in her visual field was reduced and her headaches were better. She rated her headache pain a 4/10.
The doctor of chiropractic adjusted the patient’s neck and cranium as well as utilized the Webster Technique. She reported that her vision improved in her right eye.
Overall, she had a total of fourteen visits over five weeks and had been scheduled for a C-Section delivery at 37-weeks gestation. Three days after her final chiropractic visit, the patient’s water broke and she successfully delivered her baby.
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MLA Citation: Edwards, John, & Alcantara, Joel. “Chiropractic Care of a Pregnant Patient Presenting With Pseudotumor of the Cerebrum, Neck Pain, Migraine, & Vertebral Subluxation.” Journal of Pediatric, Maternal, & Family Health. 2015.3 (2015): 108-111.