PMID- 14672263
OWN - NLM
STAT- MEDLINE
DCOM- 20040128
LR  - 20190901
IS  - 0317-1671 (Print)
IS  - 0317-1671 (Linking)
VI  - 30
IP  - 4
DP  - 2003 Nov
TI  - Motor vehicle accidents: the most common cause of traumatic vertebrobasilar 
      ischemia.
PG  - 320-5
AB  - BACKGROUND: Recent media exposure of strokes from chiropractic manipulation have 
      focused attention on traumatic vertebrobasilar ischemia. However, chiropractic 
      manipulation, while the easiest cause to recognize, is probably not the most 
      common cause of this condition. METHODS: We reviewed all consecutive cases of 
      traumatic vertebrobasilar ischemia referred to a single neurovascular practice 
      over 20 years, from the office files and hospital records. RESULTS: There were 80 
      patients whose vertebrobasilar ischemia was attributed to neck trauma. Five were 
      diagnosed as due to chiropractic manipulation, but the commonest attributed cause 
      was motor vehicle accidents (MVAs), which accounted for 70 cases; one was a 
      sports injury, and five were industrial accidents. In some cases neck pain from 
      an MVA led to chiropractic manipulation, so the cause may have been compounded. 
      In most vehicular cases the diagnosis had been missed, even denied, by the 
      neurologists and neurosurgeons initially involved. The longest delay between the 
      injury and the onset of delayed symptoms was five years. CONCLUSIONS: Traumatic 
      vertebrobasilar ischemia is most often due to MVAs; the diagnosis is often 
      missed, in part because of the delay between injury and onset of symptoms and, in 
      part, we hypothesize, because of reluctance of doctors to be involved in 
      medicolegal cases.
FAU - Beaudry, Michel
AU  - Beaudry M
AD  - Department of Clinical Neurological Sciences, University of Western Ontario, 
      London, Canada.
FAU - Spence, J David
AU  - Spence JD
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - Can J Neurol Sci
JT  - The Canadian journal of neurological sciences. Le journal canadien des sciences 
      neurologiques
JID - 0415227
SB  - IM
CIN - Can J Neurol Sci. 2003 Nov;30(4):302-4. PMID: 14672259
MH  - *Accidents, Traffic
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Time Factors
MH  - Vertebrobasilar Insufficiency/*diagnosis/*etiology/physiopathology
EDAT- 2003/12/16 05:00
MHDA- 2004/01/30 05:00
CRDT- 2003/12/16 05:00
PHST- 2003/12/16 05:00 [pubmed]
PHST- 2004/01/30 05:00 [medline]
PHST- 2003/12/16 05:00 [entrez]
AID - 10.1017/s0317167100003024 [doi]
PST - ppublish
SO  - Can J Neurol Sci. 2003 Nov;30(4):320-5. doi: 10.1017/s0317167100003024.