Cervicocephalic artery dissections and chiropractic manipulations

Cashley, Mark; Böhm, Josef; Lansley, M.J.

doi:10.1016/0140-6736(93)91041-j

Cited by 3 publications

(2 citation statements)

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“…2,48 Given that the initial symptoms of VAD commonly imitate the musculoskeletal pain for which patients typically consult chiropractors, 49,50 some of these patients may have already been in the process of experiencing CAD. 51 The associated CMT may have had little or nothing to do with the creation and progression of the ensuing dissection. This point is demonstrated by 5 cases presented by Terrett,50 in which patients experienced CAD while waiting for treatment in the chiropractic physicians' office or after missing a scheduled chiropractic appointment.…”

Section: ) Event a Causes Event B 2) Event B Causes Event Amentioning

confidence: 99%

Cervical Artery Dissection. A Comparison of Highly Dynamic Mechanisms: Manipulation versus Motor Vehicle Collision

Haneline¹,

Triano²

2005

Journal of Manipulative and Physiological Therapeutics

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Section: ) Event a Causes Event B 2) Event B Causes Event Amentioning

confidence: 99%

Cervical Artery Dissection. A Comparison of Highly Dynamic Mechanisms: Manipulation versus Motor Vehicle Collision

Haneline¹,

Triano²

2005

Journal of Manipulative and Physiological Therapeutics

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“…The post-traumatic dissection may appear after minor traumas: stretches, sudden or exaggerated rotations during some home activities or minor accidents [2,12], after chiropractic maneuvers [13][14][15][16][17], medical maneuvers [18][19][20][21][22], paroxysmal cough [23], vomiting [24], or extended forced positions [25][26][27]. The traffic accidents are by far the most frequent cause of arterial dissections [28,32].…”

Section: Discussionmentioning

confidence: 99%

Traffic accident with minor cervical lesions but with unexpected medico-legal evolution and consequences: dissection of the internal carotid artery

Sabău¹,

Mihalache²,

Buhaş³

2017

RJLM

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The authors present the case of a 56 year-old male, without medical history. He was driving his car and had the seatbelt fastened when he suffered a sudden deceleration. Immediately after the accident he felt a left sided laterocervical pain and at the level of the left hemithorax. During the following hours he experienced deglutition disturbances, dysarthria and tongue motility disturbances characteristic to a hypoglossal nerve paralysis. The paraclinical investigations performed subsequently, showed the dissection of the left internal carotid artery in the pharyngeal segment. The neurological treatment and the anticoagulant treatment led to the improvement of the symptoms up to their disappearance. The medico-legal consequence was granting a higher number of medical care days compared to the apparent lack of seriousness of the initial trauma. The conclusion is that minor traumas produced under different circumstances, such as aggressions, traffic accidents etc, can sometimes have an unexpected evolution, leading to severe complications, which have important medico-legal and legal consequences.

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