{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:15:08Z","timestamp":1769516108098,"version":"3.49.0"},"reference-count":0,"publisher":"Aerospace Medical Association","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["aerosp med hum perform"],"published-print":{"date-parts":[[2015,12,1]]},"abstract":"<jats:p><jats:bold>BACKGROUND:<\/jats:bold> Stroke is a decidedly devastating event for any patient, but particularly for a military aviator in a single-seat aircraft. Incidence of acute ischemic infarct in men ages 25 to 29 ranges from 3.4 to 5.6\/100,000. The neurological sequelae of stroke can have a lasting\n and profound impact on an aviator\u2019s career. Literature review revealed a relatively small number of cases where stroke was attributable to cervical manipulation.<jats:bold>CASE REPORT:<\/jats:bold> A 29-yr-old male jet pilot with a 2-wk history of cervicalgia following a mountain bike ride performed\n self-manipulation of his neck at home following a visit to a chiropractor. He sustained an immediate onset of euphoria, nausea, dysarthria, vertigo, diploplia, and occipital headache, and was transported via ambulance to the nearest emergency department. The patient\u2019s MRI\/MRA imaging\n revealed a dissection of his right vertebral artery, as well as bilateral cerebellar infarcts. During the course of the following months, the patient\u2019s residual symptoms included neck pain, headaches, disequilibrium, and quadrantanopia.<jats:bold>DISCUSSION:<\/jats:bold> The ability to recognize\n the symptoms of stroke and seek treatment in a timely manner are paramount and can drastically reduce the potential for permanent deficit. The evaluation of residual sequelae in military aviators who fly single-seat aircraft is of particular interest to aerospace medicine physicians when it\n comes time to return a pilot to flight duties. Additionally, the link between cervical manipulation and vertebral artery dissection leading to stroke remains equivocal, and further research is warranted.Mukherjee ST. <jats:italic>Cervical manipulation leading to cerebellar stroke in a pilot<\/jats:italic>.\n Aerosp Med Hum Perform. 2015; 86(12):1066\u20131069.<\/jats:p>","DOI":"10.3357\/amhp.4400.2015","type":"journal-article","created":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T03:13:07Z","timestamp":1448507587000},"page":"1066-1069","source":"Crossref","is-referenced-by-count":5,"title":["Cervical Manipulation Leading to Cerebellar Stroke in a Pilot"],"prefix":"10.3357","volume":"86","author":[{"given":"Samir T.","family":"Mukherjee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/86\/12\/article-p1066.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/86\/12\/article-p1066.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/86\/12\/article-p1066.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:23:02Z","timestamp":1728303782000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/86\/12\/article-p1066.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,1]]},"references-count":0,"journal-issue":{"issue":"12"},"URL":"https:\/\/doi.org\/10.3357\/amhp.4400.2015","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"value":"2375-6314","type":"print"},{"value":"2375-6322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,1]]}}}