Comments on: What’s the Diagnosis #10

By: Cliff

Cliff — Wed, 10 Oct 2012 06:00:32 +0000

haha, that would be pretty bad, if not impossible to produce that with a chiro adjustment (no reported cases in the literature)

By: Cliff

Cliff — Wed, 10 Oct 2012 05:59:24 +0000

I don’t believe there is C2/3 fusion here – this is a common error in interpreting x-rays. Chirodoc is correct.

By: Chirodoc

Chirodoc — Thu, 05 Jan 2012 23:02:22 +0000

In this case, there is atlanto-axial instability due to compromise of the transverse ligament of the atlas, either due to trauma or a disease process (there are a number of conditions that can cause this compromise). The appearance at the C2-3 facet joints appears to be a fusion, but is likely a pseudo-fusion. On lateral cervical spine radiographs, this may be a normal anatomic variant. A pseudo-fusion is due to the oblique orientation of these facet joints relative to the X-ray beam and is usually unaffected by patient position.

By: Webhill

Webhill — Fri, 18 Jun 2010 02:53:52 +0000

I’d call it Wobbler’s syndrome. She’s not a Doberman is she?

By: Sarah G

Sarah G — Thu, 17 Jun 2010 20:47:21 +0000

Stupid thought: any chance a bad chiropractic adjustment was involved?

By: igloodoc

igloodoc — Thu, 17 Jun 2010 18:46:32 +0000

oops I stand corrected…Lhermitte’s sign. Cock robin is the way they hold their head, not the pain described. Don’t know if there would be all of those out of network surgeons lining up for the surgery if the health plan were medicaid, though. The surgeons would be too busy chopping off diabetic feet and such.

By: hashmd

hashmd — Thu, 17 Jun 2010 18:11:30 +0000

The condition is atlanto-axial subluxation. The diagnosis is Rheumatoid Arthritis causing destruction of the ligaments holding the odontoid in place.

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Thu, 17 Jun 2010 17:43:09 +0000

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By: michael

michael — Thu, 17 Jun 2010 16:40:46 +0000

Definite Lhermitte’s sign. Arnold-Chiari malformation?

By: michael

michael — Thu, 17 Jun 2010 16:40:04 +0000

I’m guessing Arnold-chiari malformation.