Thalamic infarction secondary to cervical manipulation

9Citations
Citations of this article
10Readers
Mendeley users who have this article in their library.

Abstract

Vertebrobasilar infarction is a well documented complication of cervical manipulation. A commonly proposed pathogenesis is an intimal tear of the vertebral artery leading to cerebellar and other posterior fossa lesions. However, there have been no cases of thalamic infarct reported. This case demonstrates a thalamic infarction concurrent with brainstem and cerebellar infarction secondary to cervical manipulation and intimal tearing of the vertebral artery. Immediately following manipulation, the patient developed nystagmus, quadriparesis, and a speech deficit. After an aggressive course of in-patient rehabilitation, the patient progressed to a community ambulator with deficits in speech and perception. This case demonstrates one of the inherent risks associated with repetitive forceful cervical manipulation. © 1993.

Cite

CITATION STYLE

APA

Sinel, M., & Smith, D. (1993). Thalamic infarction secondary to cervical manipulation. Archives of Physical Medicine and Rehabilitation, 74(5), 543–546. https://doi.org/10.1016/0003-9993(93)90122-Q

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free