Pediatric vertebral artery dissection and ischemic stroke following chiropractic manipulation - PubMed
4 hours ago
- #pediatric stroke
- #vertebral dissection
- #chiropractic risks
- Pediatric vertebral artery dissection (VAD) after chiropractic cervical manipulation (CCM) is rare but needs increased awareness.
- Case: A 20-month-old male presented with acute lethargy, vomiting, cyanosis, and respiratory distress.
- Imaging revealed a dissection in the V4 segment of the right vertebral artery; history noted prior chiropractic cervical adjustments.
- Patient managed non-operatively and discharged without neurological deficits.
- Non-specific presentations are common in pediatric VAD cases, requiring thorough history and consideration of varied etiologies for diagnosis.