Stroke Following Cervical Chuna Treatment by Nonprofessional Therapist : A Case Report

경추 추나치료 후 발생한 뇌졸중 1례

  • 이상호 (경희대학교 한의과대학 한방재활의학교실) ;
  • 이종립 (경희대학교 한의과대학 한방재활의학교실) ;
  • 김성수 (경희대학교 한의과대학 한방재활의학교실)
  • Published : 2000.12.01

Abstract

The occurrence of neurologic symptoms after cervical manipulation(Chuna treatment) seems to be an uncommon event considering the large number of manipulations performed. The precise incidence is unknown, for only patients with serious complications seek medical care. We recently experienced a 3D-year-old woman who developed sudden neurologic complications after cervical Chuna treatment by a nonprofessional therapist. Whether the manipulation is the major causative factor in the subsequent stroke can be disputable and must be considered in each case. Physicians and patients, however, should be aware that cerebrovascular accidents may occur as a result of cervical manipulation.

Keywords

References

  1. Neurology v.45 Neurologic complications following chiropractic manipulation:A survey of California neurologists Lee KP;Carlini WG;McComick GF;Albers GW.
  2. JAMA v.133 Cerebellar and spinal injuries after chiropractic manipulation Pratt-Thomas HR.;Berger KE.
  3. Neurology v.26 Brain stem dysfunction related to cervical manipulation Mueller S;Sahs AL.
  4. Arch Neurol. Stroke due to vertebral artery injury Katirji MB;Reinmuth OM;Latchaw RE.
  5. J Nourol Neurosurg Psychiarty. v.50 Dissecting aneurysms of the vertebral arteries following cervical manipulation:a case report Dunne JW;Conacher GN;Khangure M;Harper C.
  6. Neurology v.39 Dissecting aneurysm of the vertebral artery and cervical manipulation:a case report with autopsy Mas JL;Henin D;Bousser MG;Chain R;Hauw JJ.
  7. Neurology v.40 Wallenberg's syndrome following neck manipulation Frumkin LR;Baloh RW.
  8. Neurology v.41 Vertebral artery occlusion and strok from cervical self-manipulation Rothrock JF;Hesselink JR;Teacher TM.
  9. Arch Phys Med Rehabil. v.74 Thalamic infarction secondary to cervical manipulation Sinel M;Smith D.
  10. Am J Opthal. v.123 no.6 Visual field loss resulting from cervical chiropractic manipulation Donzis PB;Factor JS.
  11. J Neurol. v.246 Stroke following chiropranctic manipulation of the cervical spine Hufnagel A;Hammers A;Schonle P-W;Bohm K-D;Leonhardt G.
  12. Neuroradiology v.9 Rotational obstruction of the vertebral artery at the atlantoaxial joint Barton JW.;Marholis MT.
  13. Chiropractic technique. Thomas FB;David HP;Dana JL.
  14. Neurology and neurosurgery illustrated Lindsay KW;Bone I;Callander R.
  15. Arch Neurol. v.2 Influence of head position upon cerebral circulation:studies on blood flow in cadavers Toole JF;Tuker SH.
  16. Radiology v.81 Radilolgraphic studies of the vertebral arteries in cadavers:effects of position and traction on the head Brown BSJ.;Tatlow WFT.
  17. Mayo Clin Proc. v.55 Vertebral-basilar distribution infarction following chiropractic cervical manipulation Krueger BR.;Okazaki H.
  18. Neurology v.38 Vertebral artery dissection Hart R.
  19. J Manipulative Physiol Ther. v.22 no.6 Effect of premanipulative tests on vetebral artery and internal carotid artery blood flow:a pilot study Rivett DA;Sharples KJ;Milburn PD.
  20. J Manipulative Physiol Ther. v.23 no.3 Is there a role for premanipulative testing before cervical manipulation? Licht PB;Christensen HW;Hoilund-Carlsen PF.