Neurology Specific Literature Search   
 
[home][thesaurus]
    
Click Here to return To Results

 

Vertebrobasilar Ischemia after Neck Motion
Stroke 22:1452-1460, Frisoni,G.B.&Anzola,G.P., 1991
See this aricle in Pubmed

Article Abstract
We describe three such cases of vertebrobasilar ischemic strokes and review 36 other reported cases.We give evidence that 1)the population at risk cannot be identified a priori in the vast majority of cases;2) symptoms may develop after many uneventful manipulations;3)clinical syndromes consist of occipital lobe(5%),cerebellar(8%),locked-in(8%), Wallenberg's(28%),other brain stem(49%),and unclassifiable(2%);4)mortality or very severe long-term impairment occurs in 28%of cases;5)the development of transient neurological symptoms during previous manipulations,the presence of known or suspected ligament laxity,and,if known,the presence of vertebral artery terminating in posterior inferior cerebellar artery should always contraindicate any chiropractic neck maneuver;and 6)the pathogenetic mechanism involves vertebral artery dissection at the atlantoaxial joint with intimal tear,intramural bleeding,or pseudoaneurysm that can lead to thrombosis or embolism.
 
Related Tags
(click to filter results - removes previous filter)

arterial dissection
arterial dissection,vertebral
brainstem,infarction of
cerebellar infarction
cerebrovascular accident
cerebrovascular accident,delayed onset
cerebrovascular disease,risk factors in
chiropractic manipulation
chiropractic manipulation,neurologic complications with
head turning
head turning,neurologic complications with
locked-in syndrome
mortality
MRI
MRI,abnormal
neck pain
pain
posterior inferior cerebellar artery syndrome
review article
thrombus,mural
transient ischemic attack
vertebral-basilar insufficiency

Click Here to return To Results