Dissection of the internal carotid artery after chiropractic manipulation of the neck

1 December 1995

journal article
case report
Published by Wolters Kluwer Health in Neurology

Vol. 45 (12) , 2284-2286
https://doi.org/10.1212/wnl.45.12.2284

Abstract

A 29-year-old woman died from a right hemispheric infarction caused by dissection and subsequent thrombosis of the internal carotid artery after chiropractic manipulations of the neck. Pathologic study of several arteries of muscular and elastic type revealed a mediolytic arteriopathy with widespread mucoid degeneration and cystic transformation of the vessel wall caused by segmental degeneration of smooth muscle cells of the tunica media. We hypothesize that mediolytic arteriopathy was a predisposing factor for the dissection of the internal carotid artery after chiropractic manipulations in our patient. NEUROLOGY 1995;45: 2284-2286

Keywords

This publication has 1 reference indexed in Scilit:

Autosomal dominant cerebellar phenotypes
Neurology, 1995