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  • sunzzofman
    Member
    Post count: 2

    Hi there,sorry to bother you but id love to speak with someone like yourself.Iv had extreme dizziness for around 3 years,had loads of tests done like bloods,brain mri,vestibular assesement,hearing and eye checks,adrenal gland test,urine test,EEG,24 hour ecg,all fine.I decided to get my neck checked as i couldnt put up with this anymore and was hoping it would at least rule out the neck.I went to a chiropractor and had a side x ray and a front x ray with my mouth open.they came back shocked saying my side x ray was normal,but my front x ray showed a considerable anomaly.They said it looks like iv been dropped directly on my head as a child.they tried manipulation for a while but said they carnt fix it,they didnt even charge me at all,it was all free,guessing they felt sorry for me or something lol.chiro sent a report to a gp and he sent me to a neurosurgeon,he requested 2 side x rays,even though we said side x rays at the chiro were clear.Neurosurgeon did a Flexion xray and a Extention x ray of my cervical spine,first he said its completely normaly.then he checked it again and said theres a small abnormality but its fine,wont cause any symptoms and its just the way i was born,and to go back to the gp,they didnt even checked a open mouth xray :(. Do the flexion and extension xrays show you everything you need to know? and could a open mouth x ray show a problem thats not detectable from the side? my chiro was really anooyed and is sending his xrays to the surgeon now.im not sure the exact name of what the injury is,he showed me useing one of them plastic spines,and he moved the ondontoid into the corner instead of at the centre back :S Would it be better for me to see a orthopedics instead of a neurosurgeon?

    heres the chiropractic report.

    “This young man has recently consulted ourselves regarding his ongoing
    dizziness/vertigo. Onset occurred some 2 ^ 2 years ago after turning his head quickly. I
    believe MRI scans of his cranial area were clear. However plain x-rays of his cervical spine
    have revealed a considerable anomaly with his Atlas/ axis vertebrae on the left side.
    This is confirmed on the MRI scan which just brings this area into view and I suspect has
    not been flagged up before. This would certainly affect his balance and is identified as a
    contraindiction to anv routine manipulation. This may be a congenital anomaly or
    traumatic in origin from a very early age which now remains unstable.”

    Donald Corenman, MD, DC
    Moderator
    Post count: 8371

    The open mouth odontoid (OMO) X-ray view does indeed demonstrate structures that are not easily discernible on the lateral views. These structures are the C1-2 articulations or facets. Arthritis of these joints is typically missed without the OMO view. The MRI can pick up on this disorder but the images have to go up high enough to catch these structures and many times they are not captured on the images.

    If there is suspicion of a disorder or deformity of the occiput to C2 area, the CT scan is a very good study. Ask your physician if they think that will help with the diagnosis. I am not sure however that dizziness can be caused by arthritis of the C1-2 joints.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    sunzzofman
    Member
    Post count: 2

    Dr. Corenman post=1566 wrote: The open mouth odontoid (OMO) X-ray view does indeed demonstrate structures that are not easily discernible on the lateral views. These structures are the C1-2 articulations or facets. Arthritis of these joints is typically missed without the OMO view. The MRI can pick up on this disorder but the images have to go up high enough to catch these structures and many times they are not captured on the images.

    If there is suspicion of a disorder or deformity of the occiput to C2 area, the CT scan is a very good study. Ask your physician if they think that will help with the diagnosis. I am not sure however that dizziness can be caused by arthritis of the C1-2 joints.

    Dr. Corenman

    My chiro hasent ever mentioned arthritis so hopefully its not that,also im 21.i do have other symptoms like fatigue,extreme weakness,bad nausea,very off balance and lightheaded,feeling faint,and last month or 2 now when i had a dizzy spell my hands go numb,like a electric shock shooting down my fingers.i do have my brain mri scans on cd,chiro said he could see the problem,dunno what im looking for but how does this image look? imageshack.us/photo/my-images/823/neckmri.jpg/
    if i was reffered to you for example with this chiro report would you had just done 2 side xrays and then if it was fine just send me back to gp or? also want to say thank you so much for replying to me it means alot :) p.s that link shows the image on it,nothing to download etc :)

    Donald Corenman, MD, DC
    Moderator
    Post count: 8371

    I cannot comment of partial images. I need the actual DVD or CD to peruse. Your symptoms could be from many sources. You should consider a good and seasoned neurologist as your next consultant.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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