Question

A 27-year-old female presents for clinical evaluation at the chiropractic office with a C/C of a 4-week-history of recurrent, short episodes of vertigo also reveals various associated symptoms for the past year, including transient U/L limb weakness, transient upper extremity paresthesia and numbness, and a few episodes of moderate to severe imbalance that once caused the patient to fall and break the proximal radius. Three Dix-Hallpike maneuver tests performed back to back on the day of the appointment revealed the following: • No latency • Purely vertical nystagmus was noted • Fading of vertigo, nausea and nystagmus was constantly slow (more that 5 minutes) • Absent adaptation/fatigue What is the best clinical assessment? SELECT THREE (3) Select all that apply Independent treatment at the Chiropractic Clinic is the best choice, and referral is not indicated. Multiple sclerosis is a probable diagnosis Cervicogenic vertigo Peripheral vertigo Central vertigo

Answer 1

Independent treatment at the Chiropractic Clinic is the best choice, and referel is not indicated (Studies have found that Chiropractor have successfully reduced the conditions of MS and Central Vertigo through Chiropractic manipulation and repositioning manoeuvers), Multiple sclerosis is a probable diagnosis (Since it is associated with muscle weakness, numbness and vertigo episodes. It happens when the body's immune system starts eating the protective layers of the nerve cell making an imbalance of signal transmission between body and brain), Central Vertigo (Most probable chances of CV due to symptoms like gradual onset, mild symptoms, vertical nystagmus).