Journal of Manipulative and Physiological Therapeutics
Volume 29, Issue 4 , Pages 330-335, May 2006

Cerebrovascular Accident Without Chiropractic Manipulation: A Case Report

  • Annabel L. Kier, DC

      Affiliations

    • Corresponding Author InformationSubmit requests for reprints to: Annabel L. Kier, DC, Welsh Institute of Chiropractic, School of Applied Sciences, University of Glamorgan, Pontypridd, Rhondda Cynon Taf, CF37 1DL Wales, UK.
    • Senior Lecturer, Welsh Institute of Chiropractic, School of Applied Sciences, University of Glamorgan, Pontypridd, Rhondda Cynon Taff, Wales, UK
    • ,
  • Peter W. McCarthy, PhD

      Affiliations

    • Reader Welsh Institute of Chiropractic, School of Applied Sciences, University of Glamorgan, Pontypridd, Rhondda Cynon Taff, Wales, UK

Received 6 October 2005

Objective

To discuss the case of a patient with chronic headache. Although not in severe pain at time of consultation, signs and symptoms raised concern. The patient later had a cerebrovascular accident.

Clinical Features

A 49-year-old man with non-traumatic chronic episodic head and neck pain presented for care. Examination and plain film radiographs were unremarkable, suggesting a mechanical origin for the symptoms; however, information in the case history raised concerns.

Intervention and Outcome

The patient was examined and not manipulated by the doctor of chiropractic but referred back to his general practitioner for a second opinion. The following week, the patient was admitted to hospital having had a cerebrovascular accident.

Conclusion

The possible indication of the prodrome to a stroke may lie in the case history rather than the examination findings and provocative testing.

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PII: S0161-4754(06)00045-5

doi:10.1016/j.jmpt.2006.03.001

Journal of Manipulative and Physiological Therapeutics
Volume 29, Issue 4 , Pages 330-335, May 2006

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