Brain stem dysfunction related to cervical manipulation. Report of three cases.
Three cases of brain stem dysfunction associated with cervical manipulation are reported. The patients exhibited a spectrum of neurologic deficits, ranging from minimal to severe. Literature concerning the relationship of neck movement and vertebrobasilar blood flow is reviewed and an explanation for the ischemia leading to dysfunction is proposed.
D000328:Adult; D001933:Brain Stem / Q000293:injuries*; D002561:Cerebrovascular Disorders / Q000209:etiology; D005260:Female; D006261:Headache / Q000150:complications / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008349:Manipulation, Orthopedic / Q000009:adverse effects*; D008875:Middle Aged; D009333:Neck