Jonathan Verderame , Muhammad Shakib Arslan , Zaheer Abbas
{"title":"Atlas realignment as novel approach to whiplash recovery: A case study on cervical stability and neurovascular flow","authors":"Jonathan Verderame , Muhammad Shakib Arslan , Zaheer Abbas","doi":"10.1016/j.inat.2025.102074","DOIUrl":null,"url":null,"abstract":"<div><div>This case report illustrates the significant improvement of a male patient suffering from whiplash-associated disorder (WAD) following atlas vertebral realignment. The patient, who experienced headaches, neck pain, brain fog, a heavy feeling in the head, and dizziness, underwent an upright MRI of the cervical spine, which revealed ligamentous disruptions, loss of cervical lordosis, internal jugular vein compression, reduced blood flow, and altered cerebrospinal fluid (CSF) flow. Post-adjustment, notable improvements in CSF and blood flow were observed, correlating with symptomatic relief. This case underscores the potential benefits of atlas vertebral realignment in managing WAD, emphasizing the importance of craniocervical junction (CCJ) integrity, conservative management, and specialized imaging in understanding and treating the complex manifestations of WAD.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102074"},"PeriodicalIF":0.4000,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214751925000866","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
This case report illustrates the significant improvement of a male patient suffering from whiplash-associated disorder (WAD) following atlas vertebral realignment. The patient, who experienced headaches, neck pain, brain fog, a heavy feeling in the head, and dizziness, underwent an upright MRI of the cervical spine, which revealed ligamentous disruptions, loss of cervical lordosis, internal jugular vein compression, reduced blood flow, and altered cerebrospinal fluid (CSF) flow. Post-adjustment, notable improvements in CSF and blood flow were observed, correlating with symptomatic relief. This case underscores the potential benefits of atlas vertebral realignment in managing WAD, emphasizing the importance of craniocervical junction (CCJ) integrity, conservative management, and specialized imaging in understanding and treating the complex manifestations of WAD.