Simple whiplash?

J Bone Joint Surg Br. 2009 Aug;91(8):1103-4. doi: 10.1302/0301-620X.91B8.22266.

Abstract

We describe a case of type-I Arnold-Chiari malformation in a 27-year-old woman who presented on two separate occasions with an apparent whiplash injury. She developed debilitating symptoms after two apparently low velocity vehicle collisions. MRI revealed a type-I Arnold-Chiari malformation. She was referred for consideration of neurosurgical decompression. Type-I Arnold-Chiari malformation is the downward herniation of the cerebellar tonsils through the foramen magnum. It is usually asymptomatic but may present after apparently insignificant trauma with a wide range of possible symptoms. The protean nature of its presentation and the similarity of the symptoms to those of a whiplash injury mean that it is easily overlooked. It is, however, important that it is detected early.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Adult
  • Arnold-Chiari Malformation / diagnosis*
  • Decompression, Surgical
  • Diagnosis, Differential
  • Female
  • Headache / etiology
  • Humans
  • Neck Pain / etiology
  • Whiplash Injuries / diagnosis*