• Sergent AW
• Cofano GP

• Adult
• Arnold-Chiari Malformation
• Diversified Technique
• Dizziness
• Headache
• Manipulation, Cervical
• Open Access Document

Objective: The purpose of this case study is to describe the chiropractic care of a patient with headaches and dizziness.

Clinical Features: A 34-year-old woman with a history of headaches, dizziness, photophobia, and temporary loss of vision aggravated by postural positions while bending forward sought conservative care for her symptoms. She reported a prior diagnosis of Arnold-Chiari malformation (ACM) type 1 by magnetic resonance imaging in 2005 that revealed descending cerebellar tonsils measured at 5 mm with an impression of ACM type 1. A new magnetic resonance image taken in 2013 indicated the cerebellar tonsils measured at 3 mm and did not project through the plane of the foramen magnum. The diagnosis of ACM type 1 was no longer applicable; however, the signs and symptoms of ACM type 1 persisted.

Intervention and Outcome: She was treated using cervical chiropractic manipulation using diversified technique. The dizziness and headache were resolved after 3 visits. At her 3-month follow-up, she continued to be symptom-free.

Conclusion: A patient with headaches and dizziness and a previous diagnosis of ACM type 1 responded positively to chiropractic care.

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