edzardernst.com
Another serious complication after chiropractic manipulation; best to avoid neck manipulations altogether, I think
I have repeatedly discussed the risks of chiropractic manipulation. Sadly, when doing so, we have to rely mostly on case reports (there is no monitoring system that would record such events, reliable incidence figures are therefore not available). This means every new case report is of considerable importance. Korean neurosurgeons recently reported the case of a patient who had an 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 before, he had been 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 a dissection of the VA. Angiography revealed