Chiropractic Response to a Spontaneous Vertebral Artery Dissection

Journal of Chiropractic Medicine
Gary Tarola, Reed B Phillips

Abstract

The purpose of this case report is to describe a case in which early detection and proper follow-up of spontaneous vertebral artery dissection led to satisfactory outcomes. A 34-year old white woman reported to a chiropractic clinic with a constant burning pain at the right side of her neck and shoulder with a limited ability to turn her head from side to side, periods of blurred vision, and muffled hearing. Dizziness, visual and auditory disturbances, and balance difficulty abated within 1 hour of onset and were not present at the time of evaluation. A pain drawing indicated burning pain in the suboccipital area, neck, and upper shoulder on the right and a pins and needles sensation on the dorsal surface of both forearms. Turning her head from side-to-side aggravated the pain, and the application of heat brought temporary relief. The Neck Disability Index score of 44 placed the patient's pain in the most severe category. The patient was not treated on the initial visit but was advised of the possibility of a vertebral artery or carotid artery dissection and was recommended to the emergency department for immediate evaluation. The patient declined but later was convinced by her chiropractor to present to the emergency departmen...Continue Reading

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Citations

Mar 18, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Jae Young Choi, Jae Il Lee
Nov 8, 2018·Korean Journal of Neurotrauma·Do Kyeun Jeong, Sung-Kyun Hwang
Apr 30, 2021·Chiropractic & Manual Therapies·Robert J Trager, Jeffery A Dusek

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