This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Douglas J. Lanska, MD; Mary Jo Lanska, MD
Department of Neurology

Robert Fenstermaker, MD; Warren Selman, MD; Timothy Mapstone, MD
Department of Neurosurgery University Hospitals of Cleveland and Case Western Reserve University School of Medicine 2074 Abington Rd Cleveland, OH 44106

Arch Neurol. 1987;44(10):996-997.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Chiropractic spinal manipulation has been associated with numerous neurologic complications, including brain-stem infarction,¹ cervical spinal cord injury,² and cauda equina syndrome.^3-5 We describe a case of thoracic intervertebral disk herniation with resultant myelopathy following spinal manipulation.

Report of a Case.

—This previously healthy 55-year-old man visited a chiropractor with a complaint of low back pain. Aggressive rotatory and hyperextensional manipulation of the entire spine was performed, immediately following which he noted the onset of numbness and paresthesias in both feet. His sensory complaints progressed and, five days later, he presented with bandlike pain in the upper thoracic region and increased numbness to approximately the level of the umbilicus. Physical examination showed mild left leg weakness and a wide-based, unsteady gait. Deep-tendon reflexes in the lower extremities were brisk and symmetric. Babinski's sign was present on the left side and equivocal on the right side. . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?