E. CHARLES KUNKLE, M.D.; JOHN C. MULLER, M.D.; GUY L. ODOM, M.D.
Infarction 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
KUNKLE EC, MULLER JC, ODOM GL. TRAUMATIC BRAIN-STEM THROMBOSIS: REPORT OF A CASE AND ANALYSIS OF THE MECHANISM OF INJURY1. Ann Intern Med. ;36:1329–1335. doi: 10.7326/0003-4819-36-5-1329
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Published: Ann Intern Med. 1952;36(5):1329-1335.
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