title: Simultaneous bilateral internal carotid and vertebral artery dissection following chiropractic manipulation: case report and review of the literature.
abstract: Single-vessel cervical arterial dissections typically occur in young adults and are a common cause of cerebral ischemia and stroke. Although the pathogenesis of multivessel dissection is unclear, it is thought to be a consequence of underlying collagen vascular disease. We present a 34-year-old previously healthy man who developed bilateral internal carotid and vertebral artery dissection following chiropractic manipulation.
authors.affiliation: University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors.forename: R N
authors.initials: RN
authors.lastname: Nadgir
authors.forename: L A
authors.initials: LA
authors.lastname: Loevner
authors.forename: T
authors.initials: T
authors.lastname: Ahmed
authors.forename: G
authors.initials: G
authors.lastname: Moonis
authors.forename: J
authors.initials: J
authors.lastname: Chalela
authors.forename: K
authors.initials: K
authors.lastname: Slawek
authors.forename: S
authors.initials: S
authors.lastname: Imbesi
mesh_terms: D000328:Adult; D020215:Carotid Artery, Internal, Dissection / Q000209:etiology*; D002533:Cerebral Angiography; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D026882:Manipulation, Chiropractic / Q000009:adverse effects*; D020217:Vertebral Artery Dissection / Q000209:etiology*