Traumatic Brain-Stem Thrombosis: Report of a Case and Analysis of the Mechanism of Injury

Case Reports1 May 1952TRAUMATIC BRAIN-STEM THROMBOSIS: REPORT OF A CASE AND ANALYSIS OF THE MECHANISM OF INJURYE. CHARLES KUNKLE, M.D., JOHN C. MULLER, M.D., GUY L. ODOM, M.D.E. CHARLES KUNKLE, M.D., JOHN C. MULLER, M.D., GUY L. ODOM, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-5-1329 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptInfarction of the medulla oblongata as a sequel to external violence is an uncommon form of vascular accident. Particularly rare are reports of such lesions secondary to manipulation of the head and neck. Two examples of rapidly fatal thrombosis of a vertebral artery or its branches in young adults, in each instance apparently precipitated by chiropractic treatment applied to the neck, have been described by Pratt-Thomas and Berger,1 who were aware of no comparable cases.The present report concerns a third instance of this special form of injury during mechanotherapy, from which the patient survived with disabling residua. The mechanism...Bibliography1. Pratt-ThomasBerger HRKE: Cerebellar and spinal injuries after chiropractic manipulation, J. A. M. A. 133: 600, 1947. CrossrefMedlineGoogle Scholar2. Brock S: Injuries of the skull, brain and spinal cord, 1943, Williams and Wilkins Co., Baltimore. CrossrefGoogle Scholar3. Medico-legal Abstract, Foster v. Thornton, J. A. M. A. 109: 233, 1937. CrossrefGoogle Scholar4. Blaine ES: Manipulative (chiropractic) dislocations of the atlas, J. A. M. A. 85: 1356, 1925. CrossrefGoogle Scholar5. 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RigdonAllen RHC: Aneurysms of the vertebral arteries; a consideration of their etiology, J. Lab. and Clin. Med. 29: 28, 1944. Google Scholar19. AlajouanineLe BeauHoudart TJR: La Symptomatologie tumorale des volumineux anevrysmes des artères vertébrales et basilaires, Rev. neurol. 80: 321, 1948. Google Scholar20. SugarHoldenPowell OLBCB: Vertebral angiography, Am. J. Roentgenol. 61: 166, 1949. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Durham, North Carolina*Received for publication September 30, 1950.From the Departments of Medicine (Neurology) and Neurosurgery, Duke University Medical School and Hospital, Durham, North Carolina. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byWhat are the risks of manual treatment of the spine? 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CLINICAL: MECHANISMS, TYPES AND TREATMENT OF INJURIESVascular insufficiency and differential distortion of brain and cord caused by cervicomedullary football injuriesDie Zirkulationsst�rungen der Arteria vertebralisThrombosis of the Vertebral Artery from Hyperextension Injury to the NeckSymposium on Cervical SpondylosisClosed Cervical Cranial Trauma Associated with Involvement of Carotid and Vertebral ArteriesDie Beeinflussung der Strömungsverhältnisse in der Arteria vertebralis durch verschiedene Kopf- und HalshaltungenInjury of Neck as Cause of Vertebral Artery ThrombosisDELAYED TRAUMATIC INTRACEREBRAL HEMORRHAGE 1 May 1952Volume 36, Issue 5Page: 1329-1335KeywordsArteriesChiropracticHospital medicineInfarctionLesionsNeurologyNeurosurgeryThrombosisYoung adults ePublished: 1 December 2008 Issue Published: 1 May 1952 PDF downloadLoading ...