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Chiropractic Response to a Spontaneous Vertebral Artery Dissection.

Gary Tarola1, Reed B Phillips2

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Early detection of spontaneous vertebral artery dissection in a young woman led to a positive outcome. Prompt recognition and referral by a chiropractor were key to this successful management.

Keywords:
Adverse effectsChiropracticManipulationStrokeVertebral artery dissectionspinal

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Chiropractic Medicine

Background:

  • Spontaneous vertebral artery dissection (SVAD) is a rare but serious condition.
  • Early diagnosis and management are crucial for preventing complications such as stroke.

Purpose of the Study:

  • To report a case of SVAD diagnosed and managed effectively.
  • To highlight the role of chiropractic physicians in recognizing and referring patients with potential vascular emergencies.

Main Methods:

  • A 34-year-old woman presented with neck pain and neurological symptoms suggestive of dissection.
  • Initial evaluation at a chiropractic clinic led to suspicion of vertebral artery dissection.
  • Magnetic resonance angiography confirmed right vertebral artery dissection.

Main Results:

  • The patient's symptoms resolved with conservative management and close follow-up.
  • No immediate intervention was required, but the patient was advised on emergency care protocols.
  • The prompt recognition by the chiropractor facilitated timely evaluation.

Conclusions:

  • Chiropractic physician's recognition and rapid response were pivotal in achieving a satisfactory outcome.
  • This case underscores the importance of considering vascular emergencies in patients presenting with neck pain and neurological symptoms.