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Published on: July 21, 2013
Cerebrovascular accident without chiropractic manipulation: a case report
Annabel L Kier1, Peter W McCarthy
1Welsh Institute of Chiropractic, School of Applied Sciences, University of Glamorgan, Pontypridd, Rhondda Cynon Taff, Wales, UK.
Objective:
To discuss the case of a patient with chronic headache. Although not in severe pain at time of consultation, signs and symptoms raised concern. The patient later had a cerebrovascular accident.
Clinical Features:
A 49-year-old man with non-traumatic chronic episodic head and neck pain presented for care. Examination and plain film radiographs were unremarkable, suggesting a mechanical origin for the symptoms; however, information in the case history raised concerns.
Intervention And Outcome:
The patient was examined and not manipulated by the doctor of chiropractic but referred back to his general practitioner for a second opinion. The following week, the patient was admitted to hospital having had a cerebrovascular accident.
Conclusion:
The possible indication of the prodrome to a stroke may lie in the case history rather than the examination findings and provocative testing.