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A 48-year-old woman with chronic neck pain presented with a history of sudden neck pain and generalized weakness during a chiropractic session. Neurologic examination showed tetraplegia with C5 sensory level. Cervical spine CT revealed a fracture affecting C5 and C6 vertebra (Figure, A and B). Cervical spine MRI confirmed spinal cord injury (Figure, C). Bilateral vertebral artery occlusion and acute cerebellar infarction were found (Figure, D–F). Bony ankylosis was found in cervical CT spine, suggesting undiagnosed ankylosing spondylitis was a risk factor for spine fracture. Other neurologic lesions related to chiropractic manipulation include vertebral artery dissection, epidural hematoma, and acute disk herniation.1,2
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- Reader Response: Spinal Cord Injury, Vertebral Artery Dissection, and Cerebellar Strokes After Chiropractic Manipulation
- Reader Response: Spinal Cord Injury, Vertebral Artery Dissection, and Cerebellar Strokes After Chiropractic Manipulation
- Reader Response: Spinal Cord Injury, Vertebral Artery Dissection, and Cerebellar Strokes After Chiropractic Manipulation
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