Skip to main content


Journal of Upper Cervical Chiropractic Research

Current & Past Issues
Editorial Board
Information for Authors
Continuing Education
Press Room
McCoy Press Journals
McCoy Press Home
McCoy & Associates




Chiropractic Management of an Infant with Paroxysmal Tonic Upgaze Syndrome, Congenital Torticollis & Upper Cervical Subluxation Following Birth Trauma: A Case Report

Charmaine A. Herman M.A., D.C. & Crystal Amilcar B.S., D.C.

Journal of Upper Cervical Chiropractic Research ~ June 29, 2015 ~ Pages 19-23



Objective: To describe the use of upper cervical subluxation-based chiropractic care in the management of a 12-month-old male child with Paroxysmal Tonic Upgaze (PTU) Syndrome, torticollis, and neurological issues secondary to birth trauma.


Intervention & Outcomes:  The patient was assessed for vertebral subluxation using National Upper Cervical Chiropractic (NUCCA) and Activator protocols revealing right atlas laterality and sacral subluxation. The patient was seen for four months for a total of nine visits.  After the first chiropractic correction parents noted that his sleep improved. Care continued weekly for one month and parents reported improvement in PTU and torticollis.


Conclusion: This case study suggests that the removal of vertebral subluxation can be beneficial in resolving symptoms related to PTU and congenital torticollis.  Further research is warranted.


Key Words: Upper cervical, paroxysmal tonic upgaze, congenital torticollis, NUCCA, Activator, vertebral subluxation