Index to Chiropractic Literature
Index to Chiropractic Literature
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Sunday, December 22, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
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ID 25585
  Title Cephalgia secondary to neuroma in a patient with ankylosing spondylitis: A case report
URL https://www.ncbi.nlm.nih.gov/pubmed/7130866
Journal J Manipulative Physiol Ther. 1982 Sep;5(3):129-131
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

A case is presented in which a 26-year-old male with intermittent headaches of many years duration, presents to the Arlington chiropractic Clinic for evaluation and therapy. Routine palpation of the painful area reveals a small mass in the region of the greater occipital nerve. Microscopic examination of the tumor after surgical removal suggests neuroma formation. Headaches did not recur.

This patient also experienced exacerbations and remissions of vague low back pain with no radiation. A sacroiliitis was both clinically and radiographically evident. These findings, a positive HLA B27 and the consistent symptom complex allowed a diagnosis of ankylosing spondylitis to be ascertained.

It is concluded that palpation of the painful area is a vital portion of the physical examination and must be included in all evaluations. This case also demonstrates that the diagnosis of one problem does not preclude the presence of others. When one condition is diagnosed and therapy is instituted, diagnostic suspicion must not be relaxed.

This abstract is reproduced with the permission of the publisher. Article only available in print.

 
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