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[Brain stem syndrome after cervical chiropractic manipulations]
T Mendel1, M Barańska-Gieruszczak
1II Kliniki Neurologicznej Instytutu Psychiatrii i Neurologii.
Neurologia I Neurochirurgia Polska
|January 11, 2002
Summary
Chiropractic manipulation can cause brainstem strokes, specifically ischemic lesions in the pons, leading to hemiparesis. Prompt treatment and rehabilitation resulted in significant recovery for this patient.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Cervical manipulation is a common treatment for neck pain.
- Cerebrovascular events following chiropractic care are rare but serious complications.
Observation:
- A 41-year-old male presented with right hemiparesis and brainstem syndrome.
- The patient experienced an ischemic lesion in the pons.
- Symptoms occurred after undergoing chiropractic manipulation.
Findings:
- The ischemic lesion in the pons was attributed to the chiropractic manipulation.
- The patient demonstrated improvement following medical intervention.
- A one-year follow-up revealed the patient to be in very good condition.
Implications:
- This case highlights a potential risk of cerebrovascular complications associated with chiropractic manipulation.
- It underscores the importance of prompt diagnosis and management of brainstem strokes.
- Further research into the mechanisms and prevention of such injuries is warranted.