Abstract: This ongoing case discusses a 9yo female patient known since birth to the chiropractor who presented differently to usual. The parent’s report provided valuable data that was not clinically evident. The recommendations to collimate a plain-film radiograph of the cervical spine to exclude the skull were over-ridden and a higher clinical yield provided information that led to the child being treated and then referred for further investigation. The specific learning outcome of this report relates to the value of practitioner experience and patient (including parental) input as powerful elements in evidence-based practice.

Indexing Terms: Upper Cervical, headache, copper beaten skull, chiropractic adjustment, vertebral subluxation complex.

Cite: Ierano J. A 9 year old with Headache and Clumsiness: A question of ‘what next?’ [Case Report] Asia-Pac Chiropr J. 2020;1:021 DOI https://doi.org/10.46323/2021021