{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:54:26Z","timestamp":1777312466712,"version":"3.51.4"},"reference-count":38,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,14]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Multivessel cervical dissection with cortical sparing is exceptional in clinical practice.\n                    <jats:bold>Case presentation:<\/jats:bold>\n                    A 55-year-old man presented with acute-onset neck pain with associated sudden onset right-sided hemiparesis and dysphasia after chiropractic manipulation for chronic neck pain.\n                    <jats:bold>Results and Discussion:<\/jats:bold>\n                    Magnetic resonance imaging revealed bilateral internal carotid artery dissection and left extracranial vertebral artery dissection with bilateral anterior cerebral artery territory infarctions and large cortical-sparing left middle cerebral artery infarction. This suggests the presence of functionally patent and interconnecting leptomeningeal anastomoses between cerebral arteries, which may provide sufficient blood flow to salvage penumbral regions when a supplying artery is occluded.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Chiropractic cervical manipulation can result in catastrophic vascular lesions preventable if these practices are limited to highly specialized personnel under very specific situations.\n                  <\/jats:p>","DOI":"10.5339\/qmj.2015.16","type":"journal-article","created":{"date-parts":[[2016,1,22]],"date-time":"2016-01-22T15:43:20Z","timestamp":1453477400000},"source":"Crossref","is-referenced-by-count":4,"title":["Cortex-sparing infarction in triple cervical artery dissection following chiropractic neck manipulation"],"prefix":"10.5339","volume":"2015","author":[{"given":"Gayane","family":"Melikyan","sequence":"first","affiliation":[{"name":"Department of Neurology (Medicine), Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saadat","family":"Kamran","sequence":"additional","affiliation":[{"name":"Department of Neurology (Medicine), Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naveed","family":"Akhtar","sequence":"additional","affiliation":[{"name":"Department of Neurology (Medicine), Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Deleu","sequence":"additional","affiliation":[{"name":"Department of Neurology (Medicine), Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Ruiz","family":"Miyares","sequence":"additional","affiliation":[{"name":"Department of Neurology (Medicine), Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"key":"CIT0001","series-title":"Cerebrovasc Dis","first-page":"275","article-title":"Mild mechanical traumas are possible risk factors for cervical artery dissection","volume":"23","author":"Dittrich\n\u00a0\nR","year":"2007"},{"key":"CIT0002","series-title":"Neurology","first-page":"1174","article-title":"Differential features of carotid and vertebral artery dissections: The CADISP study","volume":"77","author":"Debette\n\u00a0\nS","year":"2011"},{"issue":"2B","key":"CIT0003","series-title":"Arq Neuropsiquiatr","first-page":"492","article-title":"[Spontaneous cervical carotid and vertebral arteries dissection: Study of 48 patients]","volume":"62","author":"Campos\n\u00a0\nCR","year":"2004"},{"key":"CIT0004","series-title":"J Neurol Neurosurg Psychiatry","first-page":"171","article-title":"Triple and quadruple spontaneous cervical artery dissection: Presenting 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