Clin Case Rep. 2024 Apr 29;12(5):e8814. doi: 10.1002/ccr3.8814. eCollection 2024 May.
Ahmed Gamal Sayed 1, Hesham Aboloyoun 2, Yasmine Saad Makarem 3, Ashraf Elnaggar 2
PMID: 38686021 PMCID: PMC11056785 DOI: 10.1002/ccr3.8814
Abstract
Key clinical message: Contraindications of spinal manipulative therapy (SMT) have been proposed, which mandate rigorous control for its safe practice when manipulating the upper spine. Here, we report a vascular complication of Neck Manipulation in Eagle syndrome (ES) patient.
Abstract: SMT is used to treat musculoskeletal conditions such as back pain and neck pain by applying force to the spinal joints. Here, we report a rare but devastating complication of SMT, where a young male patient, 22 years old, with ES, had a large pseudoaneurysm from the internal carotid artery (ICA) after SMT from an unlicensed practitioner, treated successfully with endograft. Clinicians administering SMT should consider an elongated styloid process as a potential contraindication to this therapy.