Chiropractic sympathectomy: Carotid artery dissection with oculosympathetic palsy after chiropractic manipulation of the neck

Amir M. Khan, Nissar Ahmad, Xe Li, Mark A. Korsten, Alan Rosman

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

The association between carotid artery dissection and oculosympathetic palsy is well-known. However, the occurence of this combination with chiropractic manipulation of the cervical neck is rare. We describe the case of a 54-year-old Caucasian American male who underwent cervical manipulation for neck pain. The following day he noticed drooping of his left eyelid, with an unequal pupil size. Imaging later confirmed carotid artery dissection. Only three previous cases (one from the United States), of an association between carotid artery dissection and chiropractic sympathectomy (oculosympathetic palsy after chiropractic manipulation of the neck) have been reported. Pictures of the oculosympathetic palsy, computed tomography of the head and magnetic resonance imaging of the dissection are presented.

Original languageEnglish
Pages (from-to)207-210
Number of pages4
JournalMount Sinai Journal of Medicine
Volume72
Issue number3
StatePublished - May 2005

Keywords

  • Carotid artery dissection
  • Chiropractic manipulation
  • Oculosympathetic palsy
  • Sympathectomy

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