This case is by Dr. George Kukurin.

 

This case is a 69 year old women who has been a patient of mine for various problems for years.
This year (2001) she was involved in a side swipe auto accident. She developed left sided numbness in her face and burning pain along the entire left side of her body.  Her primary care provider sent her to a neurologist, who diagnosed her with a stroke.  He obtained an MRI scan of the brain which follows....


Note the areas of ischemia which seemingly confirms the diagnosis of stroke marked (I) on the above MRI slice.

 

I examined this patient and was able to reproduce her left sided sensory signs and symptoms through cervical compression tests -- which does not happen with stroke.  The numbness and burning pain in her face and left side could be completely relieved by cervical distraction -- which cannot happen with stroke.  She had no motor signs or other symptoms that would suggest a stroke.  Upon consultation, I encouraged her to see another neurologist for a second opinion.  He obtained Magnetic Resonance Angiograms (MRA) and Magnetic Resonance Imaging (MRI) of the cervical spine.  The results  are shown below...


 

This MRA shows normal perfusion in the terminal end of both vertebral arteries (VA), internal carotids (IC), Basilar Artery (B) and Circle of Willis (CoW).  This does not support the diagnosis of cerebrovascular accident (stroke).  Suggesting that the ischemia seen in the brain MRI was due to small vessel disease and unrelated to the Motor Vehicle Accident.

The cervical MRI demonstrates the cause of the patient's signs and symptoms...


This slice shows a normal axial MR Image of the patient's C-spine, note the ring of white CSF surrounding the cervical cord (CSF)...

However, the sagittal image demonstrates spinal stenosis  in the mid-cervical region....


 

Note the area's of stenosis marked with the asterisks (*) above. The axial image showing complete obstruction of the CSF (no white ring around the cord) as compared to the normal axial slice above and the deformation of the spinal cord itself marked in the image below with arrows (v)....


 

This patient was treated with ACT and ABC adjustive techniques.  She was released from care W/O any symptoms, signs or residual problems.

This case has several interesting aspects: 1. the original medical neurologist wrongly diagnosed this patient with a CVA. 2. The second medical neurologist diagnosed the facial pain/burning as trigeminal neuralgia. The body symptoms as myelopathy.  This is interesting because it suggests that MVA and spinal injury can cause trigeminal neuralgia and that Advanced Biostructural Correctioncan successfully treat both trigeminal neuralgia and myelopathy.