TRAUMATIC BRAIN-STEM THROMBOSIS: REPORT OF A CASE AND ANALYSIS OF THE MECHANISM OF INJURY

Field: Medicine (Health Sciences)

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. SheehanSmyth DGE: A study of the anatomy of vertebral thrombosis, Lancet 2: 614, 1937. CrossrefGoogle Scholar6. HallEaves AJEC: Posterior inferior cerebellar artery thrombosis, Lancet 2: 975, 1934. CrossrefGoogle Scholar7. FoixHillemandSchalit CPI: Sur le syndrome latéral du bulbe et l'irrigation du bulbe supérieur: L'artère de la fossette latérale du bulbe, le syndrome dit de la cérébelleuse inferieure, territoire de ces artères, Rev. neurol. 1: 160, 1925. Google Scholar8. AlexanderSuh LTH: Arterial supply of the lateral paraolivary area of the medulla oblongata, Arch. Neurol. and Psychiat. 38: 1243, 1937. CrossrefGoogle Scholar9. Corner EM: The physiology of the lateral atlanto-axial joints, J. Anat. and Physiol. 41: 149, 1907. MedlineGoogle Scholar10. de KleynNieuwenhuyse AP: Schwindelanfälle und Nystagmus bei einer bestimmten Stellung des Kopfes, Acta oto-laryng. 11: 155, 1927. CrossrefGoogle Scholar11. de KleynVersteegh AC: Über verschiedene Formen von Ménière's Syndrome, Deutsche Ztschr. f. Nervenh. 132: 157, 1933. CrossrefGoogle Scholar12. GrinkerGuy RRCC: Sprain of cervical spine causing thrombosis of anterior spinal artery, J. A. M. A. 88: 1140, 1927. CrossrefGoogle Scholar13. PerryAllen TTEV: Acute arterial thrombosis following contusion, Proc. Staff Meet., Mayo Clin. 18: 19, 1943. Google Scholar14. MooltenVromanVromanGoodman SELGMB: Role of blood platelets in thromboembolism, Arch. Int. Med. 84: 667, 1949. CrossrefGoogle Scholar15. Futcher TB: Gout, in Modern Medicine, edit. by Osler, W., and McCrae, T., 1907, Lea Brothers, Philadelphia, Vol. 1, p. 808. Google Scholar16. BauerKlemperer WF: Gout, in Diseases of Metabolism, edit. by Duncan, G. G., 1942, W. B. Saunders, Philadelphia, pp. 609-651. Google Scholar17. YaskinAlpers HEBJ: Aneurysms of the vertebral artery, Arch. Neurol. and Psychiat. 51: 271, 1944. CrossrefGoogle Scholar18. 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 ...