{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:07:01Z","timestamp":1772662021753,"version":"3.50.1"},"reference-count":12,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,9]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Vertebrobasilar occlusion poses difficult diagnostic issues and even when properly diagnosed has a poor prognosis. Newer studies highlight a better outcome when thrombectomy was carried out between six and twenty-four hours after an initial diagnosis of stroke. This paper reports a case where a patient suffered a vertebrobasilar stroke secondary to a traumatic bilateral vertebral arteries dissection was treated with late thrombectomy.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n A 34-year-old woman was manipulated on the cervical spinal column by a chiropractor. Following three weeks of cervical pain, she presented with severe aphasia and quadriplegia (NIHSS = 28). An MRI scan indicated ischemia of the vertebrobasilar system. Thirty-one hours after the onset of these symptoms, a thrombectomy was performed. After one month, the patient could move her head and the proximal part of her limbs but remained confined to bed (NIHSS = 13).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The current case illustrates the benefit of late mechanical thrombectomy for a posterior cerebral circulation infarct. Although there was a delay in treatment, partial recovery ensued.<\/jats:p>\n <\/jats:sec>","DOI":"10.2478\/jccm-2019-0014","type":"journal-article","created":{"date-parts":[[2019,8,12]],"date-time":"2019-08-12T09:31:10Z","timestamp":1565602270000},"page":"107-110","source":"Crossref","is-referenced-by-count":6,"title":["Locked-In Syndrome Following Cervical Manipulation by a Chiropractor: A Case Report"],"prefix":"10.2478","volume":"5","author":[{"given":"Guillaume Giordano","family":"Orsini","sequence":"first","affiliation":[{"name":"Emergency Department, University Hospital of Reims , Reims , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgios-Emmanouil","family":"Metaxas","sequence":"additional","affiliation":[{"name":"Radiology Department, University Hospital of Reims , Reims , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Legros","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, University Hospital of Reims , Reims , France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2019,8,9]]},"reference":[{"key":"2023122812350567799_j_jccm-2019-0014_ref_001_w2aab3b7b2b1b6b1ab1b5b1Aa","doi-asserted-by":"crossref","unstructured":"Lutsep HL, Rymer MM, Nesbit GM. 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