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June 1, 1995

Neurologic complications following chiropractic manipulation
A survey of California neurologists

June 1995 issue
45 (6) 1213-1215

Abstract

Article abstract—To obtain an estimate of how often practicing neurologists in California encounter unexpected strokes, myelopathies, or radicu-lopathies following chiropractic manipulation, we surveyed each member of the American Academy of Neurology in California and inquired about the number of patients evaluated over the preceding 2 years who suffered a neurologic complication within 24 hours of chiropractic manipulation. Four hundred eighty-six neurologists were surveyed, 177 responded; 55 strokes, 16 myelopathies, and 30 radiculopathies were reported. Patients were between the ages of 21 and 60, and the majority experienced complications following cervical manipulation. Most of the patients continued to have persistent neurologic deficits 3 months after the onset, and about one-half had marked or severe deficits. Nearly all of the strokes involved the posterior circulation and almost one-half were angiographically proven. Patients, physicians, and chiropractors should be aware of the risk of neurologic complications associated with chiropractic manipulation.

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Information

Published In

Neurology®
Volume 45Number 6June 1995
Pages: 1213-1215
PubMed: 7783892

Publication History

Published online: June 1, 1995
Published in print: June 1995

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Authors

Affiliations & Disclosures

K. Philip Lee, MD
From the Stanford Stroke Center, Department of Neurology and Neurological Sciences, Stanford University Medical Center, Palo Alto, CA.
Walter G. Cslini, MD
From the Stanford Stroke Center, Department of Neurology and Neurological Sciences, Stanford University Medical Center, Palo Alto, CA.
Georges F. McCormick, MD
From the Stanford Stroke Center, Department of Neurology and Neurological Sciences, Stanford University Medical Center, Palo Alto, CA.
Gregory W. Albers, MD
From the Stanford Stroke Center, Department of Neurology and Neurological Sciences, Stanford University Medical Center, Palo Alto, CA.

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Cited By
  1. Cervical Myelopathy after Neck Manipulation, Clinical Pain, 22, 2, (122-126), (2023).https://doi.org/10.35827/cp.2023.22.2.122
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  2. Complementary/Integrative Medicine for Pediatric Otitis Media, Otolaryngologic Clinics of North America, 55, 5, (1055-1075), (2022).https://doi.org/10.1016/j.otc.2022.06.018
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  3. Arterial Dissection, Fibromuscular Dysplasia, and Carotid Webs, Stroke, (508-531.e7), (2022).https://doi.org/10.1016/B978-0-323-69424-7.00035-1
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  4. ESSOMM European core curriculum and principles of manual medicineEuropäisches Kern-Curriculum der ESSOMM und Prinzipien der manuellen Medizin, Manuelle Medizin, 60, S1, (3-40), (2022).https://doi.org/10.1007/s00337-022-00886-y
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  5. Rupture Risk Assessment of Cervical Spinal Manipulations on Carotid Atherosclerotic Plaque by a 3D Fluid-Structure Interaction Model, BioMed Research International, 2021, (1-8), (2021).https://doi.org/10.1155/2021/8239326
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  6. A taxonomy of risk‐associated alternative health practices: A Delphi study, Health & Social Care in the Community, 30, 3, (1163-1181), (2021).https://doi.org/10.1111/hsc.13386
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  7. Bilateral medial medullary syndrome following anterior screw fixation of type 2 odontoid fracture, a case report of two patients, Spinal Cord Series and Cases, 7, 1, (2021).https://doi.org/10.1038/s41394-021-00462-x
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  8. Manipulation, Traction, and Massage, Braddom's Physical Medicine and Rehabilitation, (316-337.e7), (2021).https://doi.org/10.1016/B978-0-323-62539-5.00016-3
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  9. Subcutaneous Neck Lesion After Chiropractic Manipulation: The Role of Ultrasound Skin Imaging, Actas Dermo-Sifiliográficas (English Edition), 111, 2, (183-185), (2020).https://doi.org/10.1016/j.adengl.2020.01.004
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  10. Lesión subcutánea cervical tras manipulación quiropráctica: papel de la ecografía cutánea, Actas Dermo-Sifiliográficas, 111, 2, (183-185), (2020).https://doi.org/10.1016/j.ad.2018.08.012
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