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Related Experiment Videos

Cervical manipulation and stroke

J D Easton, D G Sherman

    Stroke
    |September 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Neck manipulation, including chiropractic, may cause vertebro-basilar infarctions. Anticoagulation therapy is discussed for these cases, considering its risks and benefits.

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    Area of Science:

    • Neurology
    • Vascular Neurology
    • Neurosurgery

    Background:

    • Cervical manipulation is a common treatment for neck pain.
    • Vertebrobasilar insufficiency (VBI) is a serious neurological condition.

    Observation:

    • Three new cases of vertebrobasilar infarctions following neck manipulation are presented.
    • Two of these manipulations were performed by chiropractors.
    • A review of 22 previously reported cases is included.

    Findings:

    • Neck manipulation is a potential trigger for vertebrobasilar artery dissection and subsequent infarction.
    • Cervical manipulation may lead to stroke in the vertebrobasilar territory.

    Implications:

    • Early recognition and prompt anticoagulation therapy may improve outcomes for patients experiencing VBI after neck manipulation.

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  • The findings highlight the importance of considering neck manipulation as a potential risk factor for stroke.
  • Further research is needed to establish definitive treatment guidelines and assess the risk-benefit ratio of anticoagulation.