BACKGROUND Vertebral artery (VA) dissection (VAD) has been described following neck injury and can be associated with @entity64 , but the causal association with cervical spine manipulation therapy (cSMT) is controversial. The standard treatment for VAD is antithrombotic medical therapy. To highlight the considerations of an endovascular approach to VAD, we present a critical case of bilateral VAD causing @entity432 (BA) in a @entity1 with symptom debut following cSMT. CASE REPORT A 37-year-old @entity1 presented with acute onset of @entity16 immediately following cSMT in a chiropractic facility. Acute magnetic resonance imaging (MRI) showed @entity2806 in the right cerebellar hemisphere and occlusion of the cranial part of the BA. Angiography depicted bilateral VAD. Symptoms remitted after endovascular therapy, which included dilatation of the left VA and extraction of @entity715 from the BA. After 6 months, the @entity1 had minor sensory and @entity73 . CONCLUSIONS In severe cases, VAD may be complicated by BA @entity715 , and this case highlights the importance of a fast diagnostic approach and advanced intravascular procedure to obtain good long-term neurological outcome. Furthermore, this case underlines the need to suspect VAD in @entity1 presenting with @entity16 following cSMT.

Endovascular Treatment of Basilar Artery XXXX Secondary to Bilateral Vertebral Artery Dissection with Symptom Onset Following Cervical Spine Manipulation Therapy.

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity2806 :: ('MESH:D002545', 'Disease') :: ['ischemic lesions'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive deficits'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological symptoms'] @entity432 :: ('MESH:D001157', 'Disease') :: ['embolic occlusion of the basilar artery'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus', 'thrombosis']
@entity715 :: (MESH:D013927,Disease) :: ['Thrombosis']
