J Neuroophthalmol. 2000 Dec; 20(4): 236-9.

The neuro-ophthalmologic complications of cervical manipulation.

Devereaux MW.

Department of Neurology, University Hospitals of Cleveland, Case Western Reserve University, Ohio 44106, USA.

Cervical manipulation, specifically chiropractic manipulation, is an important cause of vertebrobasilar and occasionally carotid distribution strokes. Neuro-ophthalmologic findings are a common and at times relatively isolated feature of cervical manipulation-induced stroke. A case of chiropractic-induced occipital lobe infarction with homonymous hemianopsia is reported, and the literature regarding neuro-ophthalmologic findings is reviewed.