JRSM >
Volume 94, Number 3 >
Pp. 107-110
Journal of the Royal Society of Medicine, Vol 94, Issue 3 107-110, Copyright © 2001 by Royal Society of Medicine
ORIGINAL ARTICLES |
C Stevinson, W Honan, B Cooke and E Ernst
Department of Complementary Medicine, University of Exeter, 25 Victoria Park Road, Exeter EX2 4NT. C.D.Stevinson@ex.ac.uk
To obtain preliminary data on neurological complications of spinal manipulation in the UK all members of the Association of British Neurologists were asked to report cases referred to them of neurological complications occurring within 24 hours of cervical spine manipulation over a 12-month period. The response rate was 74%. 24 respondents reported at least one case each, contributing to a total of about 35 cases. These included 7 cases of stroke in brainstem territory (4 with confirmation of vertebral artery dissection), 2 cases of stroke in carotid territory and 1 case of acute subdural haematoma. There were 3 cases of myelopathy and 3 of cervical radiculopathy. Concern about neurological complications following cervical spine manipulation appears to be justified. A large long-term prospective study is required to determine the scale of the hazard.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Related articles in JRSM:
This article has been cited by other articles:
|
|
 |
|
  E. Ernst Author's response J R Soc Med, October 1, 2007; 100(10): 447 - 447. [Full Text] [PDF]
|
|
|
|
|
|
E Ernst Adverse effects of spinal manipulation: a systematic review J R Soc Med, July 1, 2007; 100(7): 330 - 338. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Vohra, B. C. Johnston, K. Cramer, and K. Humphreys Adverse Events Associated With Pediatric Spinal Manipulation: A Systematic Review Pediatrics, January 1, 2007; 119(1): e275 - e283. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W-L Chen, C-H Chern, Y-L Wu, and C-H Lee Vertebral artery dissection and cerebellar infarction following chiropractic manipulation Emerg. Med. J., January 1, 2006; 23(1): e01 - e01. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Cote, J. D. Cassidy, S. Haldeman, E. E. Ernst, M. I. Weintraub, W. S. Smith, and S. C. Johnston Spinal manipulative therapy is an independent risk factor for vertebral artery dissection Neurology, November 11, 2003; 61(9): 1314 - 1315. [Full Text] [PDF]
|
|
|
|
 |
|
 E. Ernst The safety of massage therapy Rheumatology, September 1, 2003; 42(9): 1101 - 1106. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E Ernst and M M Sran Chiropractic spinal manipulation for back pain * Commentary Br. J. Sports Med., June 1, 2003; 37(3): 195 - 196. [Full Text] [PDF]
|
|
|
|
 |
|
 E. Ernst ERNST RESPONDS TO EVANS Am J Public Health, April 1, 2003; 93(4): 523 - 523. [Full Text] [PDF]
|
|
|
|
|
|
E. Ernst ERNST RESPONDS TO HURWITZ ET AL. Am J Public Health, April 1, 2003; 93(4): 524 - 524. [Full Text] [PDF]
|
|
|
|
 |
|
 E. Ernst Chiropractic Ann Intern Med, October 15, 2002; 137(8): 701 - 701. [Full Text] [PDF]
|
|
|
|
|
|
E. Ernst Chiropractic Care: Attempting a Risk-Benefit Analysis Am J Public Health, October 1, 2002; 92(10): 1603 - 1604. [Full Text] [PDF]
|
|
|
|
 |
|
 E. Ernst Spinal manipulation: Its safety is uncertain Can. Med. Assoc. J., January 1, 2002; 166(1): 40 - 41. [Full Text] [PDF]
|
|
|
|
 |
|
 J. O. Di Duro and E. Ernst Life-Threatening Complications From Spinal Manipulation Are Rare Stroke, October 1, 2001; 32 (10): 2440 - 2440. [Full Text] [PDF]
|
|
|
|
|
|
A. L. Rosner Re: Chiropractic Manipulation and Stroke Stroke, September 1, 2001; 32(9): 2207 - 2208. [Full Text] [PDF]
|
|
|
|
|
|
J. S. Jeret and E. Ernst More Complications of Spinal Manipulation Response Stroke, August 1, 2001; 32 (8): 1936 - 1937. [Full Text] [PDF]
|
|
