Spinal cord injury following chiropractic manipulation to the neck.
Spinal cord injury is a rare complication of chiropractic treatment. This case report describes a 50-year-old man who developed neurological symptoms a few hours after manipulation (high velocity low amplitude [HVLA] technique) of the cervical spine. Magnetic resonance (MR) imaging of the cervical spine revealed intramedullary high signal at the C2/3 level of the right side of the cervical cord on the T2-weighted images. The potential mechanism of injury and causes of the radiological appearance are discussed.
Clinical Radiology, University Hospital of Wales, Cardiff, UK. jchakraverty@doctors.org.uk
Julian
J
Chakraverty
Olivia
O
Curtis
Tom
T
Hughes
Margaret
M
Hourihan
D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000150:complications / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D026882:Manipulation, Chiropractic / Q000009:adverse effects*; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000209:etiology / Q000473:pathology*