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CD is an important case of ischemic stroke in young and middle-aged patients. CD is most prevalent in the upper cervical spine and can involve the internal carotid artery or vertebral artery. Although current biomechanical evidence is insufficient to establish the claim that CMT causes CD, clinical reports suggest that mechanical forces play a role in a considerable number of CDs and most population controlled studies have found an association between CMT and VAD stroke in young patients. Although the incidence of CMT-associated CD in patients who have previously received CMT is not well established, and probably low, practitioners should strongly consider the possibility of CD as a presenting symptom, and patients should be informed of the statistical association between CD and CMT prior to undergoing manipulation of the cervical spine. |
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arterial dissection
arterial dissection,carotid
arterial dissection,vertebral
cerebrovascular accident
cervical spine manipulation
chiropractic manipulation
chiropractic manipulation,neurologic complications with
controversies in neurology
cranial nerve palsies
headache
headache,unilateral
iatrogenic neurologic disorders
neck pain
neurologic disease,diagnoses of
tinnitus,pulsatile
transient ischemic attack
trauma
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