Evidence map›Paper›PMID 42152896›Full record

ArticleJournal of chiropractic medicine2025

Chiropractic Referral for Computed-Tomography Angiography to Rule Out Vertebral Artery Dissection: A Case Report.

Steven P Brown, James J Lehman

Abstract readCase Reports
In one paragraph

Article in Journal of chiropractic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Steven P BrownDoctor of Chiropractic, Brown Chiropractic & Acupuncture, PC, Gilbert, AZ.
James J LehmanDoctor of Chiropractic, University of Bridgeport, Bridgeport, CT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This paper describes a case of chiropractic referral to medical emergency services for computed-tomography angiography (CTA) imaging to rule out vertebral artery dissection (VAD). Clinical Features: A 50-year-old female presented to a chiropractic physician with an idiopathic onset of neck pain, headache, nausea, and dizziness. Differential diagnosis included VAD, internal carotid artery dissection (ICAD), as well as cerebral aneurysm or other intracranial abnormality. Due to symptoms of potential VAD, the patient was referred to medical emergency services for CTA imaging to rule out VAD. CTA revealed a possible posterior communicating artery (PCom) aneurysm vs. infundibulum, and left C3-C4 facet arthropathy. No VAD was noted. Intervention/Outcome: The patient was referred to a neurosurgeon who concluded the patient's abnormality was an incidental finding of infundibulum, not an aneurysm. The patient was referred to physical therapy for treatment of the C3-C4 facet arthropathy, which resolved her symptoms. Conclusion: This case report highlights the role of chiropractors in interdisciplinary care by referring suspected non-neuromusculoskeletal conditions to medical emergency services for advanced imaging to ensure patient safety.

Indexed as

ChiropracticDissectionStroke

Identifiers

PMID42152896
PMCPMC12803983

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.