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Osteopathic Manipulative Treatment as Supportive Care for a Pediatric Patient with a Cerebral Cavernous Malformation: A Case Study

Journal: The AAO Journal Date: 2026/03, 36(1):Pages: 14–21. doi: Subito , type of study: case report

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/36/1/article-p14.xml)

Keywords:

acupuncture [55]
adolescent [68]
case report [708]
cerebral cavernous malformation [1]
female [597]
headache [159]
neurovascular disease [1]
OMT [3750]
osteopathic manipulative treatment [3770]
pediatrics [528]
women [553]

Abstract:

This report describes the use of osteopathic manipulative treatment (OMT), including cranial techniques, as supportive care for a 15-year-old female with a cerebral cavernous malformation (CCM). The lesion was stable upon presentation; conservative care and monitoring were deemed appropriate. Multiple medication trials failed to provide optimal relief from daily pain and fatigue. The patient was referred by her pediatrician for OMT as supportive care. Treatment goals included reducing medication dependence and facilitating the patient's return to daily activities. Over eight months, the patient received OMT during 30-minute appointments once a month, which were aimed at managing chronic headaches and dysautonomia symptoms. She also received acupuncture at two appointments. While the frequency of headaches remained relatively unchanged, the severity of pain decreased, and the patient reported improved overall sense of well-being. There were no adverse events related to the CCM throughout the study period, indicating OMT can be safe when integrated into the care of pediatric patients with stable non-malignant intracranial vascular malformations. This calls for further research confirming the safety and therapeutic potential of OMT in this setting.


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