Pashan Syndrome and Cervical Dislocation: Symptoms and Concerns - Neurology

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Pashan Syndrome, also known as Chiari Malformation, is a condition that can lead to various neurological symptoms due to the displacement of brain tissue into the spinal canal. In your case, having been diagnosed with Pashan Syndrome at the age of 15 and having experienced cervical dislocation due to a fall, it is essential to understand how these conditions may relate to your current symptoms of dizziness and neck pain when looking down for extended periods.

1. Are your symptoms of dizziness and neck pain due to Pashan Syndrome?
The symptoms you describe—dizziness and neck pain when looking down—can indeed be associated with Pashan Syndrome. This syndrome can lead to altered blood flow and pressure in the cervical spine, particularly when the head is in a flexed position. The compression of the spinal cord or the brainstem can result in a variety of symptoms, including dizziness, headaches, and neck pain. Additionally, cervical dislocation can exacerbate these symptoms by causing instability in the cervical spine, leading to further irritation of the nerves and spinal cord.

In Pashan Syndrome, the altered anatomy can lead to a condition known as "cervical myelopathy," where the spinal cord is compressed, leading to neurological symptoms. The dizziness you experience may be due to a combination of cervical spine issues and the effects of Pashan Syndrome on your central nervous system. It is crucial to have a thorough evaluation by a healthcare professional who can assess your symptoms in the context of your medical history and perform necessary imaging studies to determine the exact cause of your symptoms.

2. Is neck pain and dizziness normal?
While neck pain and dizziness can occur in individuals with Pashan Syndrome and cervical dislocation, they are not necessarily "normal." These symptoms indicate that there may be underlying issues that require attention. Neck pain can arise from muscle strain, nerve compression, or joint dysfunction, while dizziness may suggest issues with blood flow or nerve function.
In your case, the combination of Pashan Syndrome and a history of cervical dislocation raises concerns that should not be overlooked. It is essential to monitor these symptoms closely. If they worsen or are accompanied by other neurological signs such as weakness, numbness, or changes in coordination, it is crucial to seek immediate medical attention.
In summary, your symptoms of dizziness and neck pain may indeed be related to your diagnosis of Pashan Syndrome and the history of cervical dislocation. It is vital to consult with a healthcare provider who specializes in neurology or spine disorders to evaluate your condition comprehensively. They may recommend imaging studies, such as MRI or CT scans, to assess the current state of your cervical spine and brain structures. Treatment options may include physical therapy, medication for pain management, or, in some cases, surgical intervention to relieve pressure on the spinal cord or nerves.
Maintaining open communication with your healthcare provider about your symptoms and any changes you experience is essential for managing your condition effectively.