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Brain stem dysfunction related to cervical manipulation. Report of three cases
Neurology
|June 1, 1976
Summary
Cervical manipulation can cause brain stem dysfunction, leading to varying degrees of neurological deficits. This review explores the link between neck movements and blood flow to the brain, proposing a cause for the resulting ischemia.
Area of Science:
- Neurology
- Vascular Neurology
- Physical Medicine
Background:
- Cervical manipulation is a common therapeutic practice.
- Potential risks associated with cervical manipulation require thorough investigation.
- Understanding the cerebrovascular effects of neck manipulation is crucial for patient safety.
Observation:
- Three patients presented with brain stem dysfunction following cervical manipulation.
- Neurological deficits observed ranged from mild to severe.
- Clinical presentation indicated compromised brain stem function.
Findings:
- A correlation between cervical manipulation and brain stem dysfunction was observed.
- Review of literature suggests a link between neck movement and vertebrobasilar blood flow.
- Proposed mechanism involves ischemia resulting from altered blood flow dynamics.
Implications:
- Highlights the potential for serious neurological complications from cervical manipulation.
- Underscores the need for careful patient selection and technique in manual therapies.
- Suggests further research into the biomechanics of cervical manipulation and its vascular effects.