Dissecting aneurysms of the vertebral arteries following cervical manipulation: a case report. Issue 3 (March 1987)

• Record Type: Journal Article
• Authors: Dunne, J W; Conacher, G N; Khangure, M; Harper, C G
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 50:Issue 3(1987)
• Page Start: 349
• Page End: 353
• Publication Date: 1987-03
• Subjects: Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.50.3.349
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Neck manipulation may uncommonly be associated with serious and even fatal vascular complications. Although well recognised, the nature of the vascular injury has only rarely been directly established by pathological examination. The case is reported of a 43-year-old man who died following neck manipulation, and in whom multiple dissecting aneurysms within both vertebral arteries were demonstrated radiologically and found at necropsy. Bilateral dissecting aneurysms were found both at the level of atlanto-axial articulation and close to the origins of the vertebral arteries. No predisposition was found, other than early atheroma consistent with the patient's age.