Chiropractic Management of Neck Pain Complicated by Symptomatic Vertebral Artery Stenosis and Dizziness

19 October 2022: Articles

Unusual or unexpected effect of treatment, Rare disease

Eric Chun-Pu Chu ^A , Robert J. Trager ^C* , Cliff Tao ^C , Linda Yin-King Lee ^C

DOI: 10.12659/AJCR.937991

Am J Case Rep 2022; 23:e937991

Table 1. Patients with vertebrobasilar insufficiency treated by a chiropractor.

Author	Year	Patient age	Sex	Symptoms	VBI diagnosis and testing	Treatment
Current case	2022	62	M	Neck pain, headaches, dizziness	Calcified plaques in VA, MRA, CTA	Thoracic SMT, no cervical rotation, IASTM
Jensen []⁵⁴	2003	40	F	Neck and interscapular pain, lightheadedness, tremor	Decreased VA blood flow via Doppler	Cervical SMT with
Jensen []⁵⁴	2003	42	M	Neck pain, tremor, left hand numbness	Decreased VA flow via Doppler	Cervical SMT with
Rectenwald []⁵³	2018	39	F	Neck pain, upper extremity numbness	Bow hunter’s syndrome, C1-2 stenosis via dynamic angiography	Instrument-assisted cervical SMT (cervical spine in neutral position)
Terenzi []⁴¹	2002	28	F	Neck and arm pain, headaches, dizziness	Perfusion deficit on transcranial Doppler, VA compression and anomaly	Cervical SMT with flexion and no rotation
CTA – computed tomography angiography; F – female; IASTM – instrument assisted soft tissue manipulation; MRA – magnetic resonance angiography; M – male; NR – not reported; SMT – spinal manipulative therapy; VA – vertebral artery; VBI – vertebrobasilar insufficiency.