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19 October 2022: Articles

Chiropractic Management of Neck Pain Complicated by Symptomatic Vertebral Artery Stenosis and Dizziness

Unusual or unexpected effect of treatment, Rare disease

Eric Chun-Pu Chu A , Robert J. Trager C* , Cliff Tao C , Linda Yin-King Lee C

DOI: 10.12659/AJCR.937991

Am J Case Rep 2022; 23:e937991

Table 1. Patients with vertebrobasilar insufficiency treated by a chiropractor.

AuthorYearPatient ageSexSymptomsVBI diagnosis and testingTreatment
Current case202262MNeck pain, headaches, dizzinessCalcified plaques in VA, MRA, CTAThoracic SMT, no cervical rotation, IASTM
Jensen []54 200340FNeck and interscapular pain, lightheadedness, tremorDecreased VA blood flow via DopplerCervical SMT with
Jensen []54 200342MNeck pain, tremor, left hand numbnessDecreased VA flow via DopplerCervical SMT with
Rectenwald []53 201839FNeck pain, upper extremity numbnessBow hunter’s syndrome, C1-2 stenosis via dynamic angiographyInstrument-assisted cervical SMT (cervical spine in neutral position)
Terenzi []41 200228FNeck and arm pain, headaches, dizzinessPerfusion deficit on transcranial Doppler, VA compression and anomalyCervical SMT with flexion and no rotation
CTA – computed tomography angiography; F – female; IASTM – instrument assisted soft tissue manipulation; MRA – magnetic resonance angiography; M – male; NR – not reported; SMT – spinal manipulative therapy; VA – vertebral artery; VBI – vertebrobasilar insufficiency.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923