Cortex-sparing infarction in triple cervical artery dissection following chiropractic neck manipulation
Joint Authors
Akhtar, Naveed
Deleu, Dirk
Melikyan, Gayane
Kamran, Saadat
Miyares, Francisco Ruiz
Source
Issue
Vol. 24, Issue 2 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Publication Date
2015-12-31
Country of Publication
Qatar
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background: Multivessel cervical dissection with cortical sparing is exceptional in clinical practice.
Case presentation: 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.
Results and Discussion: 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.
Conclusion: Chiropractic cervical manipulation can result in catastrophic vascular lesions preventable if these practices are limited to highly specialized personnel under very specific situations
American Psychological Association (APA)
Melikyan, Gayane& Kamran, Saadat& Akhtar, Naveed& Deleu, Dirk& Miyares, Francisco Ruiz. 2015. Cortex-sparing infarction in triple cervical artery dissection following chiropractic neck manipulation. Qatar Medical Journal،Vol. 24, no. 2, pp.1-5.
https://search.emarefa.net/detail/BIM-656712
Modern Language Association (MLA)
Melikyan, Gayane…[et al.]. Cortex-sparing infarction in triple cervical artery dissection following chiropractic neck manipulation. Qatar Medical Journal Vol. 24, no. 2 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-656712
American Medical Association (AMA)
Melikyan, Gayane& Kamran, Saadat& Akhtar, Naveed& Deleu, Dirk& Miyares, Francisco Ruiz. Cortex-sparing infarction in triple cervical artery dissection following chiropractic neck manipulation. Qatar Medical Journal. 2015. Vol. 24, no. 2, pp.1-5.
https://search.emarefa.net/detail/BIM-656712
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 4-5
Record ID
BIM-656712