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Recognition of patients presenting with or at risk of craniocervical arterial dissection: Preliminary results of a prospective study
Background: Craniocervical arterial dissection (CAD) is a common cause of stroke in young people which in rare cases has been associated with cervical manipulative therapy. The mechanism is considered to involve pre-existing arterial susceptibility and a precipitating event. Pre-manipulative screening tests are limited in their ability to identify those at risk. In particular one difficulty is that the early features of CAD can mimic a painful musculoskeletal presentation and a patient may present for treatment of neck pain and headache with a dissection in progress.
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: L. Thomas, J. Attia, C. Levi, D. Rivett Source Type: research

Risk Factors and Clinical Presentation of Cervical Arterial Dissection: Preliminary Results of a Prospective Case Control Study.
Conclusion Recent minor mechanical trauma or strain to the head or neck appears to be associated with cervical arterial dissection. General cardiovascular risk factors with the exception of migraine were not important risk factors for dissection in this cohort. Preceding transient neurological symptoms appear to occur commonly and may assist in identification of this serious pathology. Level of Evidence Prognosis, level 4. J Orthop Sports Phys Ther, Epub 21 May 2015. doi:10.2519/jospt.2015.5877. PMID: 25996363 [PubMed - as supplied by publisher]
Source: Physical Therapy - May 21, 2015 Category: Physiotherapy Authors: Thomas LC, Rivett DA, Attia JR, Levi C Tags: J Orthop Sports Phys Ther Source Type: research