Three cases of posterior circulation infarction related with cervical manipulation or trauma.
- Author:
Key Chung PARK
1
;
Sang Soo YOON
;
Jung Hyuk PARK
;
Dae Il CHANG
;
Eui Jong KIM
;
Woo Suck CHOI
;
Kyung Cheon CHUNG
Author Information
1. Department of Neurolygy, KyungHee University, College of Medicine.
- Publication Type:Case Report
- Keywords:
Vertebrobasilar sternoocclusion;
Neck manipulation and trauma
- MeSH:
Arteries;
Basilar Artery;
Brain Stem;
Humans;
Infarction*;
Manipulation, Chiropractic;
Manipulation, Spinal*;
Neck;
Pons;
Risk Factors;
Stroke;
Vertebral Artery;
Vertebrobasilar Insufficiency
- From:Journal of the Korean Neurological Association
1997;15(4):858-866
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND SIGNIFICANCE: Neck manipulation or trauma uncommonly be associated with serious and even fatal vascular complications. We presented the clinical and radiologic findings in 3 patients of brainstem and/or cerebellar infarct with basilar artery occlusion and extracranial vertebral artery stenosis or occlusion,. Cases : In the patient 1, the infarction of pons and lsft cerebellar hemisphere outbroke just after being seized by the collar. The angiographic findings were complete occlusion of basilar artery and left vertebral artery on C1 level and vertebrobasilar junctional occlusion of right vertebral artery. In the patient 2, extensive infarction of pons and left cerebellar hemisphere developed just after chiropractic manipulation of the neck. The angiographic findings were occlusions of left vertebral artery and distal portion of the basilar artery. In the patient 3, right cerebellar and medullary infarction of posteroinferior cerebellar artery territory occurred just after autobicycle accident. The angiographic finding was complete occlusion of left vertebral artery on C1 lever. They had not another risk factor of the stroke. CONCLUSIONS: We experienced and presented 3 cases of posterior circulation infarctio with vertebrobasilar stenoocclusion just following cervical manipulation or neck trauma.
