Cerebrovascular Accident Without Chiropractic Manipulation: A Case Report

Annabel L. Kier*, Peter W. McCarthy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


Objective: To discuss the case of a patient with chronic headache. Although not in severe pain at time of consultation, signs and symptoms raised concern. The patient later had a cerebrovascular accident. 

Clinical Features: A 49-year-old man with non-traumatic chronic episodic head and neck pain presented for care. Examination and plain film radiographs were unremarkable, suggesting a mechanical origin for the symptoms; however, information in the case history raised concerns. 

Intervention and Outcome: The patient was examined and not manipulated by the doctor of chiropractic but referred back to his general practitioner for a second opinion. The following week, the patient was admitted to hospital having had a cerebrovascular accident. 

Conclusion: The possible indication of the prodrome to a stroke may lie in the case history rather than the examination findings and provocative testing. 

Original languageEnglish
Pages (from-to)330-335
Number of pages6
JournalJournal of Manipulative and Physiological Therapeutics
Issue number4
Publication statusPublished - May 2006


  • Cerebrovascular Accident
  • Chiropractic


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