Steven Brown
Private Practice, Brown Chiropractic & Acupuncture, PC, USATitle: Plausible Mechanisms of Causation of Immediate Stroke by Cervical Spine Manipulation: A Narrative Review
Abstract
It has been proposed that
cervical spine manipulation (CSM) can cause dissection in healthy cervical
arteries, with resultant immediate stroke. However, research does not support a
causal association between CSM and cervical artery dissection (CAD) in healthy
cervical arteries. The objective of this study was to review the literature to
identify plausible mechanisms of causation of immediate stroke by CSM.
Immediate stroke being defined as stroke which occurs within seconds or minutes
of CSM. Our review found plausible thromboembolic and thrombotic mechanisms of
causation of immediate stroke by CSM in the literature. The common premise of
these mechanisms is CAD being present before CSM, not occurring as result of
CSM. These mechanisms of causation have clinical and medicolegal implications
for physicians performing CSM.
Biography
Steven Brown is a Doctor
of Chiropractic and Acupuncturist graduating from Logan University in St. Louis
in 1994. His research interests include cervical spine manipulation, cervical
artery dissection and stroke. His research has been published in Cureus and he
lectures internationally. He does peer review for the journals Cureus and
Stroke. Dr. Brown is also a Faculty Associate at Arizona State University.
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