As part of the second discussion, I pointed out that, while the evidence base supporting chiropractic manipulation as a cause of strokes due to occlusion of the vertebral or basilar arteries is pretty convincing, the evidence that chiropractic manipulation can cause carotid artery injury is much less convincing. (scienceblogs.com)
Strokes1
Dissection accounts for about 2% of all ischemic strokes and can occur after trauma or chiropracticneck maneuvers. (bvsalud.org)
That injury tore an artery in her neck and cut off blood flow to her brain, which led to the stroke that killed her. (scienceblogs.com)
We report an extremely rare case of spontaneous extracranial VA dissection presenting with posterior neck hematoma aggravated after cupping therapy, a treatment in traditional Oriental medicine. (bvsalud.org)
In the corrective chiropractic world we have coined the term "technology neck" to describe this posture. (lighthousehealth.ca)
Spinal2
Historically, some within the chiropractic profession have claimed that spinal adjustments have physiological effects on visceral functions, and thus affect overall health, beyond musculoskeletal conditions. (wikipedia.org)
In Dr. Alf Briegs groundbreaking textbook, Adverse Mechanical Tension in the Central Nervous System , Dr. Brieg showed on dissection that the human spinal cord stretched and deformed under FHP. (lighthousehealth.ca)
Patients2
Comme nous l'avons vu dans les chapitres précédents, les directives de pratique clinique utilisent différents systèmes de classification pour guider la prise en charge de ces patients. (fullphysio.com)
Il est bon de noter que quelle que soit l'approche utilisée, les guidelines des récentes études soutiennent l'utilisation de la réassurance, des conseils et de l'éducation thérapeutique pour la plupart des patients considérés comme présentant un faible risque de chronicité en phase aigüe (Blanpied et al. (fullphysio.com)
Brain1
Basically, two very important arteries that supply blood to the brain pass through the two highest vertebrae, the atlas (C1, so named because it was thought to support the head the way the mythical Atlas held up the earth) and the axis (C2). (scienceblogs.com)
Head1
It's not difficult to see how a rapid rotation of the head could potentially stretch the basilar arteries. (scienceblogs.com)
Superior cerebellar arteries2
Proximal to its bifurcation into the terminal branches (ie, PCA), the basilar artery gives off the superior cerebellar arteries that supply the lateral aspect of the pons and midbrain and the superior surface of the cerebellum. (medscape.com)
Although outcomes continue to be poor in patients with basilar artery thrombosis, advances in pharmacologic and mechanical thrombolysis and in endovascular therapy may reduce the mortality and disability rates associated with this disease. (medscape.com)
Vertigo is one of several common presenting symptoms associated with basilar artery occlusion. (medscape.com)
The branch of the basilar artery with the larger circumference is the anterior inferior cerebellar artery. (medscape.com)
It normally arises at the junction of the proximal and middle third of the basilar artery and supplies the lateral pontine tegmentum, brachium pontis or middle cerebellar peduncle, flocculus, and a small part of the anterior cerebellum. (medscape.com)
Given the anatomy of the posterior circulation and the circle of Willis, the clinical manifestations of basilar artery thrombosis depend on the location of the occlusion, the extent of the thrombus, and the collateral flow. (medscape.com)
Normally, the blood flows in an anterograde fashion from the vertebral arteries to the basilar artery up to its terminal branches. (medscape.com)
If the proximal segment of the basilar artery is occluded and the occlusion has resulted from a slowly progressive stenosis, collateralization occurs within the cerebellum into the circumferential branches of the basilar artery. (medscape.com)
The risk factors for basilar artery thrombosis are the same as those seen generally in stroke . (medscape.com)
The mechanism of stroke in basilar artery occlusion differs depending on the segment of the vessel involved. (medscape.com)
Atherosclerotic occlusive disease predominantly affects the midsegment of the basilar artery, followed by the vertebrobasilar junction. (medscape.com)
Embolism, either from a cardiac or arterial source, is much more frequent in the distal third of the basilar artery and the vertebrobasilar junction. (medscape.com)
They enter the skull through the foramen magnum and merge at the pontomedullary junction to form the basilar artery. (medscape.com)
6. Treatment of spontaneous arterial dissections with stent placement for preservation of the parent artery. (nih.gov)
To test this hypothesis, we undertook a prospective case-control study of a group of patients with spontaneous cervical artery dissection (sCAD), a group of patients with atherothrombotic stroke (non-CAD), and a group of control subjects. (nih.gov)
Systematic review3
A 2019 global summit of "50 researchers from 8 countries and 28 observers from 18 chiropractic organizations" conducted a systematic review of the literature, and 44 of the 50 "found no evidence of an effect of SMT for the management of non-musculoskeletal disorders including infantile colic, childhood asthma, hypertension, primary dysmenorrhea, and migraine. (wikipedia.org)
We evaluated the evidence related to this topic by performing a systematic review and meta-analysis of published data on chiropractic manipulation and CAD. (personalinjurydoctorgroup.com)
February 16, 2016) Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation. (personalinjurydoctorgroup.com)
Arterial dissection2
13. Endovascular mechanical thrombectomy for the treatment of acute ischemic stroke due to arterial dissection. (nih.gov)
17. Cervical artery dissection in young adults in the stroke in young Fabry patients (sifap1) study. (nih.gov)
This can block blood flow in the artery and cause a stroke. (healthjade.net)
Extracranial1
15. Treatment of intra- and extracranial arterial dissections using stents and embolization. (nih.gov)
Pontomedullary junction1
It is formed at the pontomedullary junction by the confluence of both vertebral arteries. (medscape.com)
PCAs1
Penetrating arteries from the PCAs perfuse the midbrain and thalamus, and the occipital cortex is perfused by the PCAs. (medscape.com)
Manipulation11
Case reports and case control studies have suggested an association between chiropracticneck manipulation and cervical artery dissection (CAD), but a causal relationship has not been established. (personalinjurydoctorgroup.com)
This relationship may be explained by the high risk of bias and confounding in the available studies, and in particular by the known association of neck pain with CAD and with chiropractic manipulation. (personalinjurydoctorgroup.com)
As many as 12% of North Americans receive chiropractic care every year, and a majority of these are treated with spinal manipulation [2]. (personalinjurydoctorgroup.com)
10. Craniocervical arterial dissections as sequelae of chiropractic manipulation: patterns of injury and management. (nih.gov)
Acute1
11. Endovascular treatment of acute intracranial vertebral artery dissection: long-term follow-up results of internal trapping and reconstructive treatment using coils and stents. (nih.gov)
Treatments1
In 2010, I have reviewed the deaths which have been reported after chiropractic treatments. (edzardernst.com)
Branches1
The medulla is perfused by the PICA and by direct, smaller branches from the vertebral arteries. (medscape.com)
Clinical1
Clinical trials of chiropractic often omit any mention of adverse effects (thus violating publication ethics) and, in our case-series , under-reporting was precisely 100% (none of the cases we discovered had been recorded anywhere). (edzardernst.com)
Disease3
Atherosclerosis is a disease in which plaque builds up inside your arteries. (healthjade.net)
26 Vertebral Luxations_________________________~„r,____________ 30 Health, Disease, life and Death_______________________________ 33 Rachitis or Rickets__________________________________________ 37 Biology____________________________________________________ 40 Function___________________________________________________ 44 Vertebral Adjusting__________________________________________ 48 Center Place and Second Center Place_________________________ 51 The Nervous System. (nih.gov)
The Foun- tain Head of the Principles of Chiropractic, their skillful application for the use of humanity and the reasons why and how they Govern Life in Health and Disease. (nih.gov)
Incidence1
Such calculations are frequently made by chiropractors in an attempt to define the incidence rates of risks associated with chiropractic in the West. (edzardernst.com)
Aortic root dilatation, when present, is typically of a mild degree with no increased risk of dissection in the absence of significant dilatation. (nih.gov)
Every important chiropractic idea that I have advanced has been bitterly assailed, yet, although somewhat discouraged at times, I have not turned from that which I knew was correct. (nih.gov)
Wall1
As arterial plaque builds up over many years, an artery wall gets thicker. (healthjade.net)
Reasons1
A di- rect mass term in the Lagrangian would violate gauge invariance and lead to a non-renormalizable theory, therefore the mass generation has to have more subtle reasons, bey- ond blame and claim, beyond fear, three types of intelligence and time taking. (forexsignalx.com)