Dizziness after an upper cervical spine adjustment that did not resolve with a multimodal neurological approach to therapy.

Abstract

Event Abstract Back to Event Dizziness after an upper cervical spine adjustment that did not resolve with a multimodal neurological approach to therapy. Julie M. Brown1* and Cindy L. Downing1 1 Southern California Brain Center, United States Background: A 21-year-old male experiencing dizziness, that feels like non-directional floating, for 4 months after an upper cervical chiropractic adjustment on the right side of his neck. He states he had the worst neck pain of his life after that adjustment. Six weeks before the adjustment he had an episode of vertigo and the day before heard a pop in his left ear. He has been to other upper cervical chiropractors both before and after this incident due to neck stiffness. He has sleep issues due to the dizziness and has developed depression, in which he was prescribed antidepressants, since the adjustment. He feels hopeless and that nobody can help him. MRI with contrast of the brain were negative. Method: A comprehensive neurological evaluation was done including saccadometry, videonystagmography (VNG) and computerized dynamic posturography (CDP). Both saccadometry and VNG showed hypermetria with leftward saccades that were 3 times greater than rightward saccades. Vestibular therapy, tilt table, eye movements, chiropractic manipulation and manual therapy were all applied in a variety of ways over 14 visits. Result: The combination of therapies did not change the patient’s symptoms and he continued to feel hopeless. The therapies did not change the saccadometry or VNG findings in regards to the hypermetria. He was referred back to his primary doctor for further imaging. Conclusion: A multimodal neurological approach to dizziness did not make changes in a patient with 4 months of dizziness after an upper cervical adjustment. Further evaluation is needed to rule out a fistula. Keywords: Dizziness, Cervical manipulation, Neurorehabilitation, Vestibular Rehabilitation, Depression Conference: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function, Orlando, United States, 7 Oct - 9 Oct, 2016. Presentation Type: Poster Presentation Topic: Abstracts ISCN 2016 Citation: Brown JM and Downing CL (2016). Dizziness after an upper cervical spine adjustment that did not resolve with a multimodal neurological approach to therapy.. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00083 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 03 Sep 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. Julie M Brown, Southern California Brain Center, Los Alamitos, CA, 90720, United States, DrBrown@socalbraincenter.com Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Julie M Brown Cindy L Downing Google Julie M Brown Cindy L Downing Google Scholar Julie M Brown Cindy L Downing PubMed Julie M Brown Cindy L Downing Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.