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Dissection of the Internal Carotid Artery After Chiropractic Manipulation of the Neck
Neurol 45:2284-2286, Peters,M.,et al, 1995
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Article Abstract
A 29-year-old women died from right hemispheric infarction caused by dissection and subsequent thrombosis of the internal carotid artery after chiropractic manipulations of the neck.Pathologic study of several arteries of muscular and elastic type revealed a mediolytic arteriopathy with widespread mucoid degeneration and cystic transformation of the vessel wall caused by segmental degeneration of smooth muscle cells of the tunica media.We hypothesize that mediolytic arteriopathy was a predisposing factor for the dissection of the internal carotid artery after chiropractic manipulation in our patient.
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arterial dissection
arterial dissection,carotid
arteriopathy
arteriopathy,mediolytic
carotid artery disease
carotid artery injury
carotid artery occlusion,neck
carotid artery occlusion,posttraumatic
cerebrovascular accident
cerebrovascular accident,young adult
cervical spine manipulation
chiropractic manipulation
chiropractic manipulation,neurologic complications with
iatrogenic neurologic disorders
prognosis
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