Cerebrovascular complications of neck manipulation.
نویسندگان
چکیده
The safety of spinal manipulation is an issue that demands regular and rigorous assessment, as manipulation of the upper spine has been associated with serious adverse events such as cerebrovascular accidents due to cervical artery dissection. A correlation between stroke and cervical manipulation has been reported with increasing frequency, and each new report seems to reignite debate between neurologists and manual therapists. Specific risk factors for cerebrovascular complications related to spinal manipulation have not been identified yet; for this reason, any patient may be at risk, particularly those below 45 years of age. Patients undergoing spinal manipulative therapy need to consent to the possible risk of stroke or vascular injury from the procedure.
منابع مشابه
Unpredictability of cerebrovascular ischemia associated with cervical spine manipulation therapy: a review of sixty-four cases after cervical spine manipulation.
STUDY DESIGN A retrospective review of 64 medicolegal records describing cerebrovascular ischemia after cervical spine manipulation was conducted. OBJECTIVES To describe 64 cases of cerebrovascular accidents temporally associated with cervical spine manipulation therapy in terms of patient characteristics, potential risk factors, nature of complication, and neurologic sequelae. SUMMARY OF B...
متن کاملOcclusion of vertebral artery, cerebellar infarction and obstructive hydrocephalus following cervical spine manipulation.
contained no information on risk factors of cerebrovascular disease nor any information on the existence of connective tissue disorder. Due to neck pain and cervicogenic headaches that lasted throughout several years, the patient was subjected to cervical spine manipulation. The patient was admitted to hospital because of stitching interscapular pain accompanied by intense headache, nausea and ...
متن کاملLateral medullary syndrome post-chiropractic manipulation in a 25-year old female with headache
Introduction: cervical chiropractic manipulation for the treatment of back and neck pain is becoming increasingly commonplace, especially amongst younger adults. It may also give rise to serious complications, such as dissection of cervical arteries with resultant stroke syndromes. this case report reviews the literature surrounding this issue and highlights the importance of correctly diagnosi...
متن کاملEfficacy of manipulation for non-specific neck pain of recent onset: design of a randomised controlled trial
BACKGROUND Manipulation is a common treatment for non-specific neck pain. Neck manipulation, unlike gentler forms of manual therapy such as mobilisation, is associated with a small risk of serious neurovascular injury and can result in stroke or death. It is thought however, that neck manipulation provides better results than mobilisation where clinically indicated. There is long standing and v...
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ورودعنوان ژورنال:
- European neurology
دوره 61 2 شماره
صفحات -
تاریخ انتشار 2009