scholarly journals Spinal Cord Injury, Vertebral Artery Dissection, and Cerebellar Strokes After Chiropractic Manipulation

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000013078
Author(s):  
Gabriel Bortoli Ramos ◽  
Rebecca Ranzani Martins ◽  
Julia Carvalhinho Carlos de Souza ◽  
Fernando Cavalcanti de Sá e Benevid Falcão ◽  
Cesar Castello Branco Lopes ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Chiropractic Manipulation ◽  
Cord Injury

Vertebral Artery Dissection Following Cervical Spine Injury as a Diagnostic Challenge. Case Study

2019 ◽  
Vol 21 (5) ◽  
pp. 369-378 ◽  
Author(s):  
Barbara Dobies-Krześniak ◽  
Beata Tarnacka
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Injured Patient ◽  
Occipital Lobe ◽  
Spine Injury ◽  
Artery Dissection ◽  
Diagnostic Challenge ◽  
Stroke Treatment ◽  
Cord Injury

Head and neck injuries are common and can be associated with cervical vessel injury. In some cases, the cor­rect diagnosis of artery dissection can be a real challenge given the nonspecific signs. We present the case of a spinal cord-injured patient with neurological sequelae and delayed posterior circu­la­tion stroke caused by bilateral vertebral artery dissection. The signs of cerebellar and occipital lobe ischemia were masked by manifestations of spinal cord injury. The patient was unconscious and in a serious condition, but, despite no proper stroke treatment, only residual dysarthria and upper limb ataxia were seen after reha­bilitation. Any clinical suspicion based on the combination of head or neck trauma with atypical or evolving neuro­logical symptoms should be verified for the possibility of a vertebral artery dissection.

scholarly journals Vertebral artery dissection caused by chiropractic manipulation

1991 ◽  
Vol 14 (1) ◽  
pp. 122-124 ◽  
Author(s):  
Craig T. Nakamura ◽  
Jeffrey M. Lau ◽  
Norman O. Polk ◽  
Jordan S. Popper
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Chiropractic Manipulation

Spinal Cord Infarction in the Region of the Posterior Spinal Artery After Embolization for Vertebral Artery Dissection

2018 ◽  
Vol 15 (6) ◽  
pp. 701-710 ◽  
Author(s):  
Wataro Tsuruta ◽  
Tetsuya Yamamoto ◽  
Go Ikeda ◽  
Masayuki Sato ◽  
Yoshiro Ito ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Coil Embolization ◽  
Univariate Analysis ◽  
Posterior Inferior Cerebellar Artery ◽  
Vertebral Artery Dissection ◽  
Endovascular Surgery ◽  
Artery Dissection ◽  
Spinal Cord Infarction ◽  
Posterior Spinal Artery

AbstractBACKGROUNDEndovascular surgery for vertebral artery dissections (VADs) carries the risk of spinal cord infarction (SCI). Although SCI in the region of the anterior spinal artery (ASA) has been reported, SCI in the region of the posterior spinal artery (PSA) is rare.OBJECTIVETo investigate PSA infarction after endovascular surgery for VAD.METHODSInfarction in the region of the PSA after endovascular surgery for VADs carried out in consecutive 21 cases was investigated. The variables of aneurysmal location, status, intra-aneurysmal thrombosis, antithrombotic therapy, and endovascular procedure were investigated in relation to the occurrence of spinal cord or brain stem infarction.RESULTSThirteen cases were unruptured aneurysms, and 8, ruptured aneurysms. The endovascular surgical method was internal trapping in 10 cases, stent-assisted coil embolization in 8 cases, and proximal occlusion (PO) in 3 cases. Periprocedural symptomatic infarction was detected in 4 of the 21 cases (19%): 3 SCIs and 1 lower medulla infarction, after 1 stent-assisted coil embolization and 3 PO. All 3 symptomatic SCIs were PSA infarction. On univariate analysis, the variables of posterior inferior cerebellar artery-involved-type, PO, and intraprocedural proximal flow arrest were significantly correlated with occurrence of PSA infarction.CONCLUSIONPSA infarction after endovascular surgery for VAD seems not to be a rare potential complication. Insufficiency of collateral blood flow and artery-to-artery embolism due to intraprocedural flow stagnation of the VA seem to be the possible mechanisms of PSA infarction in addition to previously reported mechanisms such as direct obliteration by the embolic materials and extended thrombosis of the VA stump.

scholarly journals Neurological injury from virtual reality mishap

2021 ◽  
Vol 14 (10) ◽  
pp. e243424
Author(s):  
Natasha Warner ◽  
James T Teo
Keyword(s):  
Spinal Cord ◽  
Virtual Reality ◽  
Home Environment ◽  
Hypoglossal Nerve ◽  
Public Awareness ◽  
Vertebral Artery Dissection ◽  
Neurological Injury ◽  
Artery Dissection ◽  
The Public ◽  
Cord Injury

Consumer virtual reality systems are becoming increasingly popular with the increasing availability of devices and gamified technologies. Self-sustained injury risks exist with the use of this technology in the uncontrolled home environment, however, the public awareness of these risks may not be recognised. We present a case of a low- impact virtual reality fall resulting in spinal cord injury, hypoglossal nerve injury, vertebral artery dissection and traumatic brain injury.

Right Vertebral Artery Transection With a Vertical Distraction of C5-6: Case Report of a Patient Survival

2020 ◽  
Vol 86 (5) ◽  
pp. 531-533
Author(s):  
Jared Griffard ◽  
Reagan Bollig
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Vertebral Artery ◽  
Spinal Cord Injuries ◽  
Patient Survival ◽  
Multidisciplinary Treatment ◽  
Vertebral Artery Dissection ◽  
Spinal Column ◽  
Left Vertebral Artery ◽  
Artery Dissection

Spinal column injuries are very commonly diagnosed in the multitrauma population, and extensive distraction injuries are often fatal due to cerebrovascular injuries or spinal cord injuries. We present a 62-year-old female who presented after an MVC with a 2-cm vertical distraction injury of C5-6 with a right vertebral artery transection and left vertebral artery dissection. She received multidisciplinary treatment which resulted in her survival, albeit with severe neurologic deficits. We challenge the current literature that suggests a blunt vertebral artery transection is 100% fatal.

scholarly journals Pure Motor Stroke Due to Vertebral Artery Dissection

1989 ◽  
Vol 16 (3) ◽  
pp. 348-351 ◽  
Author(s):  
Stephen J. Phillips ◽  
William J. Maloney ◽  
Jean Gray
Keyword(s):  
Vertebral Artery ◽  
Cerebral Angiography ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Chiropractic Manipulation ◽  
Artery Embolism ◽  
Pontine Infarct ◽  
Pure Motor

ABSTRACT:A 39-year-old man presented with a pure motor stroke 9 days after cervical chiropractic manipulation. Computerised tomographic scanning showed a pontine infarct. Cerebral angiography showed changes consistent with the diagnosis of bilateral vertebral artery dissection. It is postulated that the infarct resulted from artery-to-artery embolism.

scholarly journals Symmetrical Infarction of the Cervical Spinal Cord Due to Spontaneous Bilateral Vertebral Artery Dissection

Stroke ◽  
1998 ◽  
Vol 29 (8) ◽  
pp. 1742-1742 ◽  
Author(s):  
Thomas Hundsberger ◽  
Frank Thömke ◽  
Hanns Christian Hopf ◽  
Clemens Fitzek
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Cervical Spinal Cord ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

scholarly journals A cervical spinal cord injury following chiropractic manipulation

Spinal Cord ◽  
1976 ◽  
Vol 13 (4) ◽  
pp. 223-227 ◽  
Author(s):  
Lawrence A Rinsky ◽  
Glenn G Reynolds ◽  
Robert M Jameson ◽  
Richard D Hamilton
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Chiropractic Manipulation ◽  
Cord Injury

Spinal Cord Ischemia due to Vertebral Artery Dissection

2005 ◽  
Vol 18 (3) ◽  
pp. 390-394
Author(s):  
M. Bergui ◽  
G. Ventilii ◽  
F.M. Ferrio ◽  
D.R. Daniele ◽  
G.B. Bradač
Keyword(s):  
Spinal Cord ◽  
Differential Diagnosis ◽  
Vertebral Artery ◽  
Grey Matter ◽  
Spinal Cord Ischemia ◽  
Vertebral Artery Dissection ◽  
Cervical Cord ◽  
Artery Dissection ◽  
Spinal Cord Infarction ◽  
Central Regions

We reviewed clinical and neuroradiological findings in 37 consecutive patients with cervical cord infarction due to vertebral artery dissection diagnosed at our institution from 1996 to 2004. Four patients had clinical and neuroradiological findings consistent with spinal cord ischemia. Three patients had “pencil-like” infarction at C3-C5 level; one patient had an infarction of the anterior horns of the spinal grey matter at C3-C4 level. Symptoms were crural sensory deficit with mild tetraparesis and proximal strength deficit of the arms, respectively. Spinal cord infarction complicated vertebral artery dissection in about 10% of patients of our series. Infarctions involved the most central regions of the spinal cord, with relative sparing of the peripheral white matter tracts. Clinical and MRI pictures were almost typical, and consistent with a hemodynamic mechanism for the lesions. Vertebral artery dissection must be considered in the differential diagnosis in patients with cervical cord infarction.

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