1887
Volume 2015, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

Multivessel cervical dissection with cortical sparing is exceptional in clinical practice. A 55-year-old man presented with acute-onset neck pain with associated sudden onset right-sided hemiparesis and dysphasia after chiropractic manipulation for chronic neck pain. Magnetic resonance imaging revealed bilateral internal carotid artery dissection and left extracranial vertebral artery dissection with bilateral anterior cerebral artery territory infarctions and large cortical-sparing left middle cerebral artery infarction. This suggests the presence of functionally patent and interconnecting leptomeningeal anastomoses between cerebral arteries, which may provide sufficient blood flow to salvage penumbral regions when a supplying artery is occluded. Chiropractic cervical manipulation can result in catastrophic vascular lesions preventable if these practices are limited to highly specialized personnel under very specific situations.

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2016-01-14
2019-11-19
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  • Article Type: Case Report
Keyword(s): chiropractics , cortical sparing , magnetic resonance imaging , stroke and trivessel dissection
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