Clinical Case Challenge August 2025 - Chiro Credit Blog

The Clinical Case Challenge addressing Cerebellar Tonsillar Ectopia is available. Test your clinical skills with this new case by Satya Sardonicus, DC, CACCP.

 

Case Description:

42 yo male presents with chronic dizziness, brain fog, and neck pain that worsens with position changes

 

Background

  • Incident: Motorcycle accident 12 years ago with significant whiplash and concussion.
  • Previous Diagnoses: POTS, chronic fatigue syndrome, and generalized anxiety disorder.
  • Symptoms:
    • Persistent occipital headaches and neck stiffness.
    • Heart rate irregularity, especially when moving from sitting to standing.
    • Fatigue, emotional withdrawal, and occasional dissociation.
    • Difficulty concentrating, impaired short-term memory, and poor sleep quality.
  • Patient Concerns: Experiences “crashes” after even minor adjustments, leaving him fatigued and disoriented for days.

 

Question: What potential diagnoses should be considered based on this history?

 

Apply your clinical experience and skills as you work through this brief interactive diagnostic case available for registered ChiroCredit users. Simply login and scroll to the bottom of the My Homepage. It only takes a few minutes.

If you are interested in learning more about the topic covered in this challenge, you’ll find access to a newly released course dedicated to this specific topic, HERE.

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