Can J Neurol Sci. 1989 Aug; 16(3): 348-51.

Pure motor stroke due to vertebral artery dissection.

Phillips SJ, Maloney WJ, Gray J.

Department of Medicine, Camp Hill Hospital, Halifax, Nova Scotia, Canada.

A 39-year-old man presented with a pure motor stroke 9 days after cervical chiropractic manipulation. Computerised tomographic scanning showed a pontine infarct. Cerebral angiography showed changes consistent with the diagnosis of bilateral vertebral artery dissection. It is postulated that the infarct resulted from artery-to-artery embolism.