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Chiropractic complications. Another case report

D Soragna1, L Montalbetti, P Bo

  • 1Clinica Neurologica, Università di Pavia.

Acta Neurologica
|April 1, 1993
PubMed
Summary
This summary is machine-generated.

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Chiropractic manipulation for headache may cause stroke. A patient experienced a stroke after neck manipulation, resulting in coma but later recovered.

Area of Science:

  • Neurology
  • Neurosurgery
  • Chiropractic Medicine

Background:

  • Tension-type headache is a common condition often treated with manual therapies.
  • Chiropractic manipulation is a frequently used intervention for musculoskeletal pain, including headaches.
  • Cervical manipulation has been anecdotally linked to cerebrovascular events.

Observation:

  • A 34-year-old man undergoing chiropractic manipulation for tension-type headache experienced sudden occipital pain, vomiting, and loss of consciousness.
  • The patient remained comatose for five days, with neurological deficits including dysarthria and ataxia upon recovery.
  • Neuroradiological imaging revealed an ischemic lesion in the territory of the left posterior inferior cerebellar artery (PICA).

Findings:

  • The ischemic lesion in the left PICA region was confirmed by angiography.

Related Experiment Videos

  • The patient demonstrated a complete clinical and radiological recovery approximately two months after the event.
  • This case highlights a potential association between chiropractic manipulation and vertebral artery dissection leading to PICA stroke.

    • Implications:

    • This case underscores the importance of considering serious adverse events, such as stroke, following chiropractic manipulation.
    • Clinicians should be aware of the potential risks associated with cervical manipulation, especially in patients presenting with headache.
    • Further research is warranted to establish the causal link and incidence rates of cerebrovascular events post-chiropractic manipulation.