Objective: To report on the efficacy of chiropractic care of an eleven year-old patient with vertebral subluxation and dizziness, ataxia, and visual disturbances concomitant with anatomical variants similar to Arnold-Chiari Malformation Type 1.
Clinical Features: The patient is an 11- year-old female who had a one month history of dizziness, fuzzy vision, and inability to stand or walk unassisted. MRI revealed an anatomical variant in which the patient’s cerebellar tonsils protruded 2mm into the foramen magnum, and there was compression of the pituitary gland by cerebral spinal fluid (CSF). The patient was no longer able to attend school, or perform normal daily activities of an eleven year-old. Physical exam findings indicated the presence of vertebral subluxation at the atlas and occiput.
Interventions and Outcomes: Specific manual and drop table assisted adjustments were performed, primarily in the upper cervical region, based on evidence of subluxation. The patient responded well to care with complete resolution of cerebellar symptoms.
Conclusion: Chiropractic care was rendered with positive results for a pediatric patient suffering from symptoms similar to that of an Arnold-Chiari Malformation Type 1. Resolution of upper cervical subluxation findings occurred along with the resolution of cerebellar symptomatology.
Key Words: Chiropractic, ataxia, cerebellar, pediatric, subluxation, Arnold Chiari
Adam Willemin, D.C. Journal of Pediatric, Maternal & Family Health - Chiropractic ~ Volume 2010 ~ Issue 2 ~ Pages 89 -94. Abstract