Restoration of Normal CerebroSpinal Fluid Flow in 2 Cases of Confirmed Cerebelar Tonsilar Ectopia with Long-Term Headaches, Following Use of The Atlas Orthogonal Instrumented Manipulation Technique
Scott Rosa1; Michael Freeman2; David Harshfield3 1Sweat Foundation, Rock Hill, 2Oregon Health and Science University School of Medicine, Department of Public Health and Preventive Medicine, Portland, and 3Private Practice, Little Rock, USA
Introduction: We report on two patients who presented with severe, long-standing headaches and other complications following whiplash trauma secondary to a motor vehicle crash (MVC). Materials and Methods: Both patients were examined in an upright MRI utilizing cerebral spinal fluid (CSF) flow cine software, which allowed for evaluation of CSF flow. It was noted that in each patient there was a static misalignment of the 1st cervical vertebra (Atlas), as well as substantially reduced CSF flow at the cranio-cervical junction associated with cerebellar tonsillar ectopia. Both patients received a manipulation directed at the C1 misalignment utilizing the atlas orthogonal procedure (instrumented manipulation). Results: Within an hour of the atlas orthogonal correction both patients were rescanned for CSF flow. In both cases restoration of normal flow was observed.
Additionally, the headache pain level was nearly eliminated immediately post treatment in both patients. Subsequent follow-up has demonstrated persisting improvement in headache severity, with similar nearly instantaneous results with the same procedure of instrumented manipulation when the headaches symptoms have returned. Conclusions: Prior research has demonstrated a correlation between CSF flow obstruction and intracranial pressure headaches. This is a potentially significant clinical finding (CSF obstruction) that can lead to long-term and often unexplained complaints of unresolved headaches, neck pain, paresthesias, numbness, and a variety of other symptoms that are often associated with cerebellar tonsillar ectopia. A larger study with a control group is currently underway to evaluate the reproducibility of these findings.