Three cases of posterior circulation infarction related with cervical manipulation or trauma

J Korean Neurol Assoc > Volume 15(4); 1997 > Article

Journal of the Korean Neurological Association 1997;15(4): 858-866.

경부척추조작술 또는 경부수상과 관련된 척추기저동맥계뇌경색 3예

박기정, 윤상수, 박정혁, 장대일, 김의종, 최우석, 정경천

경희대학교 의대 신경과. 방사선과

Three cases of posterior circulation infarction related with cervical manipulation or trauma

Key chung Park, M.D., Sang soo Yoon, M.D., Jung hyuk Park, M.D., Dae-il Chang, M.D., Eui jong Kim, M.D., Woo suck Choi, M.D., Kyung cheon Chung, M.D.

Department of Neurolygy and Radiology, Kyung-Hee University, College of Medicine

Abstract

Backgroud & Significance : Neck manipulation or trauma uncommonly be associated with serious and even fatal vascular complications. We presented the clinical and radiologic findings in 3 patients of brainstem and/or cerebellar infarct with basilar artery occlusion and extracranial vertebral artery stenosis or occlusion,. Cases : In the patient 1, the infarction of pons and lsft cerebellar hemisphere outbroke just after being seized by the collar. The angiographic findings were complete occlusion of basilar artery and left vertebral artery on C1 level and vertebrobasilar junctional occlusion of right vertebral artery. In the patient 2, extensive infarction of pons and left cerebellar hemisphere developed just after chiropractic manipulation of the neck. The angiographic findings were occlusions of left vertebral artery and distal portion of the basilar artery. In the patient 3, right cerebellar and medullary infarction of posteroinferior cerebellar artery territory occurred just after autobicycle accident. The angiographic finding was complete occlusion of left vertebral artery on C1 lever. They had not another risk factor of the stroke. Conclusions : We experienced and presented 3 cases of posterior circulation infarctio with vertebrobasilar stenoocclusion just following cervical manipulation or neck trauma Key Words : Vertebrobasilar sternoocclusion, Neck manipulation and trauma