Chiropractic Response to a Spontaneous Vertebral Artery Dissection

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.