Clinical Neurology and Neurosurgery Available online 24 April 2021, 106665 Akash Mitra Highlights • Chiropractic manipulations are a risk factor for vertebral artery dissections • Patients with chiropractor-associated injuries were relatively young and healthy • Chiropractic-associated injuries were milder compared to other causes of dissection • Spinal fracture was the only predictor of worse outcome […]
Donald D. Davis Last Update: January 2, 2021. Continuing Education Activity Rotational vertebral artery syndrome, or “Bow Hunter syndrome,” is a very rare diagnosis that is easily missed. Furthermore, symptoms are very nonspecific and caused by underlying anatomic abnormalities or derangements. This activity serves to examine the underlying pathology of this rare cause of vertebrobasilar […]
Nicholas Moser BMJ Open 2019;9:e025219. doi: 10.1136/bmjopen-2018-025219 Abstract Objective It is hypothesised that cervical manipulation may increase the risk of cerebrovascular accidents. We aimed to determine whether cervical spine manipulation is associated with changes in vertebral artery and cerebrovascular haemodynamics measured with MRI compared with neutral neck position and maximum neck rotation in patients with chronic neck pain. […]
Journal of Neurology June 2019, Volume 266, Issue 6, pp 1383–1388 Valeria Guglielmi Background and purpose Simultaneous dissection of three or four cervical arteries rarely occurs. As a result, limited information is available on clinical characteristics, underlying causes, treatment, and outcome of these patients. Methods We performed a systematic review of individual patient data on […]
Sports Medicine April 2019, Volume 49, Issue 4, pp 553–564 Abstract Background Vertebral artery dissection (VAD) is a potentially catastrophic injury that may occur during sports participation. A comprehensive review is needed to collate documented cases to improve understanding and inform future preventative approaches. Objective This review aimed to understand the extent of VAD in […]
By Steven Reinberg HealthDay Reporter WEDNESDAY, Jan. 30, 2019 (HealthDay News) — Flu can make you deathly ill, but it could also trigger a stroke or a rupture in your neck arteries, two new studies suggest. The findings prompted an urgent reminder from the researchers: Getting a flu shot will not only protect you against […]
James S. Demetrious Chiropractic & Manual Therapies 2018 26:22 https://doi.org/10.1186/s12998-018-0193-z Published: 9 July 2018 Background Spontaneous cervical artery dissections more often manifest in young people and have been associated with catastrophic consequences. Some indeterminate risk factors have been identified, making the diagnosis of developing dissections quite difficult. Fluoroquinolone antibiotics have been recognized for their degradative […]
BMC Neurol. 2018; 18: 74. Published online 2018 May 28. doi: 10.1186/s12883-018-1080-x PMCID: PMC5971422 PMID: 29807531 Sung eun Chung, Abstract Background Cervical artery dissection is one of the most important causes of ischemic stroke in young age patients. However, multiple cervical artery dissection simultaneously involving the anterior and posterior circulation is uncommon. Here, we would […]
Spine: February 2016 – Volume 41 – Issue 4 – p 293–298 doi: 10.1097/BRS.0000000000001241 Wakao, Norimitsu MD, PhD Abstract Study Design. Observational study using a retrospective single-institute database. Objective. To investigate the prevalence of a medial loop (ML) of the vertebral artery (VA) and internal carotid artery (ICA), which might be an anatomical risk factor […]
Cureus. 2016 Feb; 8(2): e498. Published online 2016 Feb 16. doi: 10.7759/cureus.498 PMCID: PMC4794386 PMID: 27014532 Monitoring Editor: Alexander Muacevic and John R Adler Ephraim W Church Abstract Background Case reports and case control studies have suggested an association between chiropractic neck manipulation and cervical artery dissection (CAD), but a causal relationship has not been […]
February 2016Volume 21, Pages 2–9 Lucy C. Thomas Abstract Introduction Cervical arterial dissection (CAD) is a common cause of stroke in young people under 55 years. It can occur spontaneously or subsequent to minor trauma or infection. The incidence is difficult to determine accurately as not all CAD progress to stroke. CAD is the most […]
JMPT. November–December, 2015Volume 38, Issue 9, Pages 672–676 Chadwick L.R. Chung, D Abstract Objective Controversy surrounds the safety of cervical spine manipulation. Ischemic stroke secondary to cervical spine manipulation is a hypothesized adverse event. In Canada, the seriousness of these events and their perceived association to cervical spine manipulation has led some members of the […]
J Manipulative Physiol Ther. 2015 Nov-Dec;38(9):672-6. doi: 10.1016/j.jmpt.2013.09.005. Epub 2014 Jan 3. Chung CL, Côté P, Stern P, L’Espérance G. Abstract OBJECTIVE: Controversy surrounds the safety of cervical spine manipulation. Ischemic stroke secondary to cervical spine manipulation is a hypothesized adverse event. In Canada, the seriousness of these events and their perceived association to cervical […]
Archives of Neuroscience: 2 (4); e26670 Published Online: October 17, 2015 Article Type: Review Article Received: February 7, 2015 Revised: June 23, 2015 Accepted: August 5, 2015 DOI : 10.5812/archneurosci.26670 Abstract Context: Cervical artery dissection (CAD) is a common cause of stroke in young adults. There is controversy over whether anticoagulation is superior to antiplatelet […]
Risk Factors And Clinical Presentation Of Cervical Arterial Dissection: Preliminary Results Of A Prospective Case Control Study Authors: Lucy C. Thomas, PhD, MMedSc (Physiotherapy)1,5, Darren A. Rivett, PhD, MAppSc (ManipPhty)2, John R. Attia, MD, PhD3, Christopher Levi, BMedSc, MBBS, FRACP4 Published: Journal of Orthopaedic & Sports Physical Therapy, Ahead of Print Pages: 1-27 doi:10.2519/jospt.2015.5877 Study […]
J Stroke Cerebrovasc Dis. 2014 Sep;23(8):2031-2035. doi: 10.1016/j.jstrokecerebrovasdis.2014.03.007. Epub 2014 Jul 30. Cai X, Razmara A, Paulus JK, Switkowski K, Fariborz PJ, Goryachev SD, D’Avolio L, Feldmann E, Thaler DE. Abstract BACKGROUND: Spinal manipulation has been associated with cervical arterial dissection and stroke but a causal relationship has been questioned by population-based studies. Earlier studies […]
by Crystal Phend, Senior Staff Writer, MedPage Today August 08, 2014 Patients should be warned before chiropractic manipulation of the neck that the technique has been linked to cervical dissection, which can cause stroke, the American Heart Association warned. A scientific statement from the organization in the October issue of Stroke cautioned about the low level of […]
The program was unsuccessful in promoting any real change in lifestyle-related cardiovascular risk factors.
Shari Wynd Abstract Background Cervical artery dissection (CAD) and stroke are serious harms that are sometimes associated with cervical spinal manipulation therapy (cSMT). Because of the relative rarity of these adverse events, studying them prospectively is challenging. As a result, systematic review of reports describing these events offers an important opportunity to better understand the […]
PLoS One. 2013; 8(3): e59170. Published online 2013 Mar 20. doi: 10.1371/journal.pone.0059170 PMCID: PMC3604043 PMID: 23527121 Shari Wynd Abstract Background Cervical artery dissection (CAD) and stroke are serious harms that are sometimes associated with cervical spinal manipulation therapy (cSMT). Because of the relative rarity of these adverse events, studying them prospectively is challenging. As a […]