The neuro-ophthalmologic complications of cervical manipulation.
Cervical manipulation, specifically chiropractic manipulation, is an important cause of vertebrobasilar and occasionally carotid distribution strokes. Neuro-ophthalmologic findings are a common and at times relatively isolated feature of cervical manipulation-induced stroke. A case of chiropractic-induced occipital lobe infarction with homonymous hemianopsia is reported, and the literature regarding neuro-ophthalmologic findings is reviewed.
Devereaux
M W
MW
Department of Neurology, University Hospitals of Cleveland, Case Western Reserve University, Ohio 44106, USA.
D000328:Adult; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006423:Hemianopsia / Q000209:etiology*; D006801:Humans; D018810:Magnetic Resonance Angiography; D020393:Manipulation, Spinal / Q000009:adverse effects*; D009778:Occipital Lobe / Q000473:pathology*; D020217:Vertebral Artery Dissection / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity; D014794:Visual Fields