IT HAS been known for some time that chiropractic manipulation of the vertebral column can cause damage to the encased spinal cord and its roots. For instance, injury to the cauda equina from a nucleus pulposus traumatically herniated by manipulation has been described.1 Paraplegia may prove to be a more serious sequel to these manipulative procedures.* Even more complicated and serious neurologic results may occur with dislocation of the atlas on the axis as a result of chiropractic manipulation of the neck and head.4
While such dangers to the spinal cord and spinal roots would seem to be readily understandable, the involvement of neural structures in the posterior fossa of the skull might seem more remote. Yet damage to the cerebellum and brain stem have resulted from chiropractic manipulation.† Damage to such structures can be quickly fatal or may leave unfortunate neural deficits. We have had the opportunity to
SCHWARZ GA, GEIGER JK, SPANO AV. POSTERIOR INFERIOR CEREBELLAR ARTERY SYNDROME OF WALLENBERG AFTER CHIROPRACTIC MANIPULATION. AMA Arch Intern Med. 1956;97(3):352–354. doi:10.1001/archinte.1956.00250210098009
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