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Related Experiment Videos

Visual field loss resulting from cervical chiropractic manipulation

P B Donzis1, J S Factor

  • 1Department of Ophthalmology, Jules Stein Eye Institute, UCLA School of Medicine, USA. pdonzis@usa.net

American Journal of Ophthalmology
|June 1, 1997
PubMed
Summary

Chiropractic neck manipulation can lead to serious complications. A case report details a healthy woman experiencing visual field loss and brain infarction after cervical manipulation.

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Area of Science:

  • Neurology
  • Ophthalmology
  • Neurosurgery

Background:

  • Chiropractic spinal manipulation is a common treatment for neck pain.
  • Cervical manipulation carries potential risks, though severe complications are rare.

Observation:

  • A healthy 39-year-old woman presented with sudden left peripheral visual field loss.
  • The visual field deficit occurred immediately after undergoing chiropractic neck manipulation.

Findings:

  • Visual field testing revealed a left superior homonymous hemianopsia.
  • Magnetic resonance imaging confirmed acute infarction in the ventromedial right occipital lobe.

Implications:

  • This case highlights a potential neurological complication of chiropractic cervical manipulation.

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  • Cerebral infarction should be considered in patients presenting with visual disturbances post-manipulation.
  • Further research is warranted to understand the mechanisms and incidence of this complication.