Simultaneous bilateral internal carotid and vertebral artery dissection following chiropractic manipulation: case report and review of the literature.
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.
Nadgir
R N
RN
University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Loevner
L A
LA
Ahmed
T
T
Moonis
G
G
Chalela
J
J
Slawek
K
K
Imbesi
S
S
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*