Neuroradiology

, Volume 45, Issue 5, pp 311–314

Simultaneous bilateral internal carotid and vertebral artery dissection following chiropractic manipulation: case report and review of the literature

  • R. N. Nadgir
  • L. A. Loevner
  • T. Ahmed
  • G. Moonis
  • J. Chalela
  • K. Slawek
  • S. Imbesi
Diagnostic Neuroradiology

Abstract

Single-vessel cervical arterial dissections typically occur in young adults and are a common cause of cerebral ischemia and stroke. Although the pathogenesis of multivessel dissection is unclear, it is thought to be a consequence of underlying collagen vascular disease. We present a 34-year-old previously healthy man who developed bilateral internal carotid and vertebral artery dissection following chiropractic manipulation.

Keywords

Arterial dissection Chiropractice Magnetic resonance imaging Angiography 

References

  1. 1.
    Leys D, Lucas C, Gobert M, et al (1997) Cervical artery dissections. Eur Neurol 37: 3–12PubMedGoogle Scholar
  2. 2.
    Garcia-Monaco JC, Canton GF, Beldarrain MG (1996) Bilateral vertebral artery dissection in a patient with afibrinogenemia. Stroke 27: 2325–2327PubMedGoogle Scholar
  3. 3.
    Van den Berg JS, Limberg M, Kappelle LJ, et al (1998) The role of type III collagen in spontaneous cervical arterial dissection. Ann Neurol 43: 494–498PubMedGoogle Scholar
  4. 4.
    Eachampati SR, Sebastian MW, Reed RL II (1998) Posttraumatic bilateral carotid artery and right vertebral artery dissections in a patient with fibromuscular dysplasia: case report and review of the literature. J Trauma 44: 406–409PubMedGoogle Scholar
  5. 5.
    Pelkonen O, Tikkakoshi T, Leinonen S, et al (1998) Intracranial arterial dissection. Neuroradiology 40: 442–447CrossRefPubMedGoogle Scholar
  6. 6.
    Lomeo RM, Silver RM, Brothers M (1989) Spontaneous dissection of the internal carotid artery in a patient with polyarteritis nodosa. Arthritis Rheum 32: 1625–1626PubMedGoogle Scholar
  7. 7.
    Guillon B, Levy C, Bousser MG (1998) Internal carotid artery dissection: an update. J Neurol Sci 153: 146–158CrossRefPubMedGoogle Scholar
  8. 8.
    Brandt T, Hausser I, Orbeck E, et al (1998) Ultrastructural connective tissue abnormalities in patients with spontaneous cervicocerebral artery dissection. Ann Neurol 44: 281–285PubMedGoogle Scholar
  9. 9.
    Blunt SB, Galton C (1997) Cervical carotid or vertebral artery dissection. Br Med J 314: 243Google Scholar
  10. 10.
    Mokri B (1997) Spontaneous dissections of internal carotid arteries. The Neurologist 3: 104–119Google Scholar
  11. 11.
    Provenzale JM, Morgenlander JC, Gress D (1996) Spontaneous vertebral dissection: clinical conventional angiographic, CT, and MR findings. J Comput Assist Tomogr 20: 185–193Google Scholar
  12. 12.
    Mayer SA, Rubin BS, Starman BJ (1996) Spontaneous multivessel cervical artery dissection in a patient with a substitution of alanine for glycine (G13A) in the alpha 1 (I) chain of type I collagen. Neurology 47: 552–556PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • R. N. Nadgir
    • 1
  • L. A. Loevner
    • 2
  • T. Ahmed
    • 1
  • G. Moonis
    • 2
  • J. Chalela
    • 3
  • K. Slawek
    • 2
  • S. Imbesi
    • 2
  1. 1.University of Pennsylvania School of MedicineHospital of the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Neuroradiology SectionDepartment of Radiology, Hospital of the University of PennsylvaniaPhiladelphiaUSA
  3. 3.Department of NeurologyHospital of the University of PennsylvaniaPhiladelphiaUSA

Personalised recommendations