title: Chiropractic care for headaches and dizziness of a 34-year-old woman previously diagnosed with Arnold-Chiari malformation type 1.
abstract: OBJECTIVE
  The purpose of this case study is to describe the chiropractic care of a patient with headaches and dizziness.
  
  
  METHODS
  A 34-year-old woman with a history of headaches, dizziness, photophobia, and temporary loss of vision aggravated by postural positions while bending forward sought conservative care for her symptoms. She reported a prior diagnosis of Arnold-Chiari malformation (ACM) type 1 by magnetic resonance imaging in 2005 that revealed descending cerebellar tonsils measured at 5 mm with an impression of ACM type 1. A new magnetic resonance image taken in 2013 indicated the cerebellar tonsils measured at 3 mm and did not project through the plane of the foramen magnum. The diagnosis of ACM type 1 was no longer applicable; however, the signs and symptoms of ACM type 1 persisted.
  
  
  RESULTS
  She was treated using cervical chiropractic manipulation using diversified technique. The dizziness and headache were resolved after 3 visits. At her 3-month follow-up, she continued to be symptom-free.
  
  
  CONCLUSIONS
  A patient with headaches and dizziness and a previous diagnosis of ACM type 1 responded positively to chiropractic care.
authors.affiliation: Assistant Professor, Palmer Chiropractic College of Florida, Port Orange, FL.
authors.forename: Adam W
authors.initials: AW
authors.lastname: Sergent
authors.affiliation: Assistant Professor, Palmer Chiropractic College of Florida, Port Orange, FL.
authors.forename: Gregory P
authors.initials: GP
authors.lastname: Cofano
keywords: Alternative therapies; Arnold-Chiari malformation; Chiropractic