Cerebrovascular Complications Following Cervical Spine Manipulation Therapy: A Review of 53 Cases

Haldeman S, Kohlbeck F, McGregor MConference Proceedings of the Chiropractic Centennial 1995 Jul: 282-3

Conclusions: This study supplies an analysis 53 cases of post-CMST CVA complications that have been previously unreported in the chiropractic/medical literature. These cases represent approximately a 45% increase in the number of such cases reported in the English language literature over the past 100 years. The data from this case series confirm conclusions from prior analyses of case reports, but with considerably more confidence than that published based solely on post event medical evaluation. No clear cut risk factors can be elicited from the data. Previously proposed risk factors such as migraine headaches, hypertension, diabetes, history of cardivascular disease, oral contraceptives recent head or neck trauma, or abnormalities on x-rays do not appear to be significantly greater in patients who have cerebrovascular complications of manipulation than that noted in the general population.

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