The patient was not taking any anticoagulants or antiplatelet agents and had a relatively unremarkable past medical and surgical history. She became concerned enough a few days later, because of the persistence of unremitting headache, to contact her primary-care physician. Her current problem started after an activator treatment to the base of the left side at the junction of the skull with the upper cervical spine. The patient subsequently gave a history of chronic neck and back pain, but no headache, for which she had intermittently received chiropractic adjustments. There was no prior history of migraine, but some mild treated hypertension. He then referred her to the emergency room where she was categorized as a “stroke alert” and evaluated according to the hospital “stroke-alert” protocol. Her primary-care physician had ordered an outpatient MRI, which was interpreted as showing a small sub-acute left posterior temporal lobe haemorrhage. Additional complaints included some vague right eye blurring of vision and a mild speech disturbance. This recent paper raises doubts on this hypothesis.Ī neurosurgeon from Florida published the case-report of a 75-year-old active woman who presented to a local hospital emergency room with a 3-day history of the acute onset of severe left temporal headache, initially self-treated with non-steroidals, to which they were resistant. Some chiropractors seem to believe that using a hand-held manipulator, called ‘activator’, better controls the forces used on the spine and therefore is safer. We have repeatedly discussed the risks of chiropractic spinal manipulation (see, for instance here, here and here).
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