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Wallenberg's Syndrome Following Neck Manipulation
Neurol 40:611-615, Frumkin,L.R.&Baloh,R.W., 1990
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Article Abstract
We describe 4 patients ages 28 to 41 with lateral medullary infarction (Wallenberg's syndrome)following chiropractic neck manipulation.In 3 patients,angiography documented dissection of the extracranial 3rd segment of the vertebral artery near the atlantoaxial joint.The onset of neurologic symptoms following manipulation varied from immediate to 4 days.All had good recovery with minor residual deficits.Although the association between chiropractic neck manipulation and vertebral-basilar artery distribution infarction is well known,we emphasize its occurrence in young healthy individuals without commonly regarded predisposing factors.
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arterial dissection
arterial dissection,vertebral
brainstem,infarction of
cerebrovascular accident
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lateral medullary syndrome
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