A Case of Posterior Inferior Cerebellar Artery Infarction after Cervical Chiropractic Manipulation.
10.13004/kjnt.2018.14.2.159
- Author:
Do Kyeun JEONG
1
;
Sung Kyun HWANG
Author Information
1. Department of Neurosurgery, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea. nshsg@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Cerebral infarction;
Dissection;
Lateral medullary syndrome;
Manipulation, chiropractic;
Vertebral artery
- MeSH:
Adult;
Angiography;
Arteries*;
Brain;
Cerebellar Diseases;
Cerebral Infarction;
Chiropractic*;
Emergency Service, Hospital;
Humans;
Infarction*;
Lateral Medullary Syndrome;
Magnetic Resonance Imaging;
Manipulation, Chiropractic*;
Manipulation, Spinal;
Neck Pain;
Pica;
Vertebral Artery;
Vertigo
- From:Korean Journal of Neurotrauma
2018;14(2):159-163
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe the case of a patient who had infarction of the posterior inferior cerebellar artery (PICA) after a chiropractic cervical manipulation. A 39-year-old man visited the emergency room with signs of cerebellar dysfunction, presenting with a 6-hour history of vertigo and imbalance. Two weeks ago, he was treated by a chiropractor for intermittent neck pain. At the time of admission, brain computed tomography, magnetic resonance imaging, and angiography revealed an acute infarction in the left PICA territory and occlusion of the extracranial vertebral artery (VA; V1/2 junction) as a result of the dissection of the VA. Angiography revealed complete occlusion of the left PICA and arterial dissection was shown in the extracranial portion of the VA. He was treated with antiplatelet therapy. Three weeks later, he was discharged without any sequelae. The possibility of VA dissection should be considered at least once in patients presenting with cerebellar dysfunctions with a recent history of chiropractic cervical manipulation.
