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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.

Journal of Manipulative and Physiological Therapeutics
|May 13, 2006
PubMed
Summary

A patient with chronic headache experienced a cerebrovascular accident (stroke). Careful review of the patient's history, not just physical examination, may reveal early stroke warning signs.

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Area of Science:

  • Neurology
  • Vascular Neurology
  • Diagnostic Medicine

Background:

  • Chronic headache and neck pain can present diagnostic challenges.
  • Distinguishing between mechanical pain and serious underlying pathology is crucial.
  • Early identification of cerebrovascular events is vital for patient outcomes.

Observation:

  • A 49-year-old male presented with chronic episodic head and neck pain.
  • Initial examination and radiographs were unremarkable, suggesting a mechanical cause.
  • Subtle historical details raised concern despite normal physical findings.

Findings:

  • The patient was referred for a second opinion without chiropractic manipulation.
  • The patient was subsequently hospitalized following a cerebrovascular accident.

Related Experiment Videos

  • The stroke occurred shortly after the initial consultation.

    • Implications:

    • Patient history may be more critical than physical examination in identifying stroke prodromes.
    • This case highlights the importance of thorough patient history in neurological assessments.
    • Clinicians should consider cerebrovascular events in patients with unexplained chronic head and neck pain.