HI All,

Yes, client has been seen by a neuro. I sent her back for a contrast Wikipedia reference-linkMRI and am now hoping to hear something on that. also has had a full neuro assessment which, other than the light headedness and left drift when walking, is within normal range.

Something's not right for sure (understatement of the century).

Original Cx mob from what i can tell (i was not the treating physio) was post-shoulder surgery and prolonged sling use which resulted in Cx tension and pain. Onset of current symptoms 2 days later. presented to me 13 months later after referral from the neurologist to me.

I have seen the Travell and Simons trigger point info and have done some work on the musculature of the Cx but to no avail. other than better Cx ROM. but no symptom resolution. I am more and more thinking cerebellar infarct (perhaps the original mobs threw off a clot from the carotid artery????) and have referred back to the neuro with a long list of things i've done and want checked out more thoroughly.

oh well... you win some and lose some... fortunately the balance is generally in favour of the winning but not in this case.

Thanks to everyone for their ideas and suggestions.

Msk101