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Neurology 232 — at a Glance
| Course: | Neurology 232: The IML |
| Faculty: | Michael Hall, DC, FIACN · Neurology Faculty, CCEDseminars |
| Format: | On-demand online video with case walk-throughs and assessment · downloadable handouts · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |
Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
The intermediolateral cell column is the switchboard between the brain’s regulation and the body’s vascular tone. It sits in the lateral horn of the cord, it carries sympathetic preganglionic output, and when its regulation drifts the result is not a symptom in one place — it is a pattern: cold hands, blood pressure that will not settle, pain that outlasts the tissue, a patient who never fully recovers.
This two-hour course works the IML from anatomy to appointment. It covers the spinal cord cross-section and the synaptic connections the cord mediates, the brainstem influence sitting above it, and then the clinical relationships that follow — vasomotor tone and peripheral relations, sympathetically maintained pain, and what vital signs and oxygen saturation reveal. It closes on the part a chiropractor can act on: the cervicothoracic junction, forward head carriage, paresthesia and Raynaud’s, and post-adjustment physiology.
Choose Your Neurology Path — Three Lanes, One Curriculum
The Neurology series runs from what you can measure at the bedside, through the brain systems that explain the findings, to the structures a chiropractor treats, the developing nervous system, and the risks worth screening for. Courses 201–230 are built out here, within a larger clinical-neurology curriculum; each is two hours.
1 · Examination, Testing and Clinical Reasoning
What you measure and what it means — oximetry, vital signs, reflexes, sensory testing, outcome measures and the differential behind a collapse.
203: Pulse Oximetry in Chiropractic
208: Vital Signs for Chiropractors
210: Chiropractic Clinical Case Studies
211: Reflex Assessment in Chiropractic
213: Neurology Tests for Chiropractors
222: Somatosensory Examination Review
224: Outcome Assessments: Neurologic Perspective
235: Syncope
236: Accurate Sensory Testing & the Clinical Examination
2 · Brain Systems, Cognition and Mood
The cortical, cerebellar and limbic files — pain and the CNS, the pyramidal system, frontal lobes and cerebellum, memory, mood, smell and what the brain is popularly believed to do.
202: Pain & the Central Nervous System
204: Clinical Aspects of the Pyramidal Man
205: Functional Neurology & Frontal Lobes
206: Functional Neurology & the Cerebellum
223: Myths of the Brain
228: The Neurophysiology of Happiness
229: Clinical Perspectives Surrounding Memory
233: Anxiety in America
237: The Nose Knows
238: The Science of Happiness
3 · Spine, Posture and Craniocervical
Where neurology meets the structures a chiropractor treats — the cord, the vestibular system, the craniocervical junction, the cervical curve, sleep posture and the mechanics of the ribcage.
201: Chiropractic Myelopathy Management
207: Exploring the Vestibular System
209: Guzay’s Theorem & Craniocervical Neurology
225: Current Perspectives of Sleep Posture
231: Ribs and Breathing
234: The Cervical Lordosis
4 · Pediatric and Developmental Neurology
The developing nervous system from birth through adolescence — early plasticity, developmental milestones, and concussion in children and teens.
212: Pediatric Concussion Management
217: The Concussed Teen and Return to Learn
221: Brain Rules for Babies
226: Pediatric Pearls (Ages 0–3)
227: The Vital Child (Ages 5–12)
5 · Motor Control, Tone and Peripheral Nerve
The motor system from cortex to muscle — upper motor neuron anatomy and signs, tone and spasticity, movement disorders and peripheral nerve involvement.
215: Dopamine, Parkinson’s & Chiropractic
218: Chiropractic Perspectives on Tone
240: The Upper Motor Neuron
6 · Autonomic, Vascular and Brain-Health Risk
The autonomic and vascular side of practice — sympathetic and vagal regulation, blood pressure, digestion, stroke risk, and the lifestyle factors that move long-term brain health. You are here: Neurology 232.
214: Depression and Exercise
216: Is Fitness Important to Health?
219: Cervicogenic Hypertension
220: Chiropractic Stroke Risk Assessment
230: Low Stomach Acid & the Burp Test
232: The IML — Structure, Function & Relevance
239: Dysautonomia
Every course in the series is 2 PACE-approved CE hours at $40, and the automatic bundle discounts apply across the whole lane.
What You'll Learn in Neurology 232
Describe the neuroanatomy of the IML on spinal cord cross-section, including the synaptic connections the cord mediates and brainstem-mediated function
Explain how the IML governs vasomotor tone and peripheral relations, and recognise sympathetically maintained pain
Use vital signs and oxygen saturation as practical indicators of sympathetic and perfusion state
Apply the anatomy at the cervicothoracic junction — forward head carriage, paresthesia, Raynaud’s and post-adjustment physiology
Your Neurology Faculty
Michael Hall, DC, FIACN,instructor of this course and of the entire Neurology curriculum. A chiropractic neurology specialist, founder of BrainDC.org and Neurology Faculty at CCEDseminars, with more than 30 years of clinical and academic experience. He teaches functional neurology, neurological assessment and clinical neuroscience with an emphasis on case-based, evidence-informed application — translating complex neurological concepts into clinical reasoning a general practice can use.
Monte Horne, DC,reviewer of this course. Founder and CE Program Director of CCEDseminars, a Designated Doctor for the Texas Department of Insurance and a peer reviewer and expert witness.
Full bios and the complete instructor roster: CCEDseminars faculty page.
Where Neurology CE Hours Count — State Rules Worth Knowing
Clinical neurology coursework is clinical subject matter — assessment, diagnosis and case management — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum; in Rhode Island, they address the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns nothing — patient-care education like this counts fully under the clinical-focus rule.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state's guide in the full state directory before building your renewal plan.
Build Your Neurology Block
Every course in the Neurology series runs 2 hours at $40, so the automatic discounts do the bundling for you: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — courses 201–210 together are 20 hours, well past the 20% tier at roughly $320 instead of $400. The full Chiropractic Clinical Neurology (CCN) 201–224 bundle runs 48 hours if you are working toward the certification. 2 CE hours,$40 Browse Neurology Courses
Neurology 232 — Frequently Asked Questions
What is the intermediolateral cell column, in one sentence?
It is the column of sympathetic preganglionic neurons running through the lateral horn of the thoracic and upper lumbar cord — the point where central control becomes peripheral sympathetic output. The course works through it on spinal cord cross-section, then follows its synaptic connections and the brainstem influence that sits above it.
Why does the IML matter to a chiropractor specifically?
Because its output governs vasomotor tone, and because the cervicothoracic junction is both where much of that output originates and where chiropractors routinely work. The course covers forward head carriage, post-adjustment physiology, and the reasoning that links a segmental finding to a vascular or autonomic presentation — without overclaiming what an adjustment does.
What is sympathetically maintained pain?
Pain that persists because sympathetic activity is sustaining it rather than because tissue damage is ongoing. It is one of the clinical relationships the course examines, and it explains presentations that do not behave like mechanical pain and do not respond as though they were.
How do vital signs and oxygen saturation fit in?
They are the measurable end of an otherwise invisible system. The course covers what vital signs and oxygen saturation can tell you about sympathetic state and peripheral perfusion, which turns an abstract neuroanatomy discussion into numbers you can take in the room.
Does this course cover Raynaud’s and paresthesia?
Yes — both are addressed as clinical expressions of IML and vasomotor involvement, in the section on relevance to chiropractic practice. They are presented as presentations to reason about, alongside the cervicothoracic junction and forward head carriage, not as conditions with a single cause.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Neurology 232?
The IML is where neuroanatomy becomes vascular tone. This course connects the cross-section to the cervicothoracic junction you already treat.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)