Cervical manipulation and stroke.
Three patients are described who experienced vertebro-basilar distribution infarctions associated with neck manipulation. Two of the manipulations were chiropractic. Twenty-two previously reported cases are reviewed. Evidence  favoring the use of anticoagulation in these patients is discussed along with the relative risk of such therapy.
D000328:Adult; D002561:Cerebrovascular Disorders / Q000209:etiology* / Q000628:therapy; D002684:Chiropractic; D005260:Female; D006801:Humans; D008349:Manipulation, Orthopedic / Q000009:adverse effects*; D008875:Middle Aged; D009068:Movement; D009333:Neck