Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26647210
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Case+Rep
2015 ; 16
(ä): 868-71
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Endovascular Treatment of Basilar Artery Thrombosis Secondary to Bilateral
Vertebral Artery Dissection with Symptom Onset Following Cervical Spine
Manipulation Therapy
#MMPMID26647210
Mikkelsen R
; Dalby RB
; Hjort N
; Simonsen CZ
; Karabegovic S
Am J Case Rep
2015[Dec]; 16
(ä): 868-71
PMID26647210
show ga
BACKGROUND: Vertebral artery (VA) dissection (VAD) has been described following
neck injury and can be associated with stroke, but the causal association with
cervical spine manipulation therapy (cSMT) is controversial. The standard
treatment for VAD is antithrombotic medical therapy. To highlight the
considerations of an endovascular approach to VAD, we present a critical case of
bilateral VAD causing embolic occlusion of the basilar artery (BA) in a patient
with symptom debut following cSMT. CASE REPORT: A 37-year-old woman presented
with acute onset of neurological symptoms immediately following cSMT in a
chiropractic facility. Acute magnetic resonance imaging (MRI) showed ischemic
lesions in the right cerebellar hemisphere and occlusion of the cranial part of
the BA. Angiography depicted bilateral VAD. Symptoms remitted after endovascular
therapy, which included dilatation of the left VA and extraction of thrombus from
the BA. After 6 months, the patient had minor sensory and cognitive deficits.
CONCLUSIONS: In severe cases, VAD may be complicated by BA thrombosis, and this
case highlights the importance of a fast diagnostic approach and advanced
intravascular procedure to obtain good long-term neurological outcome.
Furthermore, this case underlines the need to suspect VAD in patients presenting
with neurological symptoms following cSMT.