Evidence map›Paper›PMID 42903412›Full record

ArticleClinical case reports2026

Ischemic Stroke Associated With Vertebral Artery Occlusion Following Cervical Spine Manipulation in a Young Woman With Underlying Vascular Risk Factors: A Case Report.

Aguasanta González-Delatorre, Joliette Alvarado-Velásquez, Bárbara Ruiz-Alayón, Cristina López-Sánchez, José Ayala-Hernández

Abstract read
In one paragraph

Article in Clinical case reports, 2026. 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

5 authors.

Aguasanta González-DelatorreGrupo de Investigación Clínica Médica y Terapéutica A-Escuela Luis Razetti Universidad Central de Venezuela Caracas Venezuela.ORCID https://orcid.org/0000-0003-3871-2014
Joliette Alvarado-VelásquezGrupo de Investigación Clínica Médica y Terapéutica A-Escuela Luis Razetti Universidad Central de Venezuela Caracas Venezuela.ORCID https://orcid.org/0009-0008-2809-1377
Bárbara Ruiz-AlayónGrupo de Investigación Clínica Médica y Terapéutica A-Escuela Luis Razetti Universidad Central de Venezuela Caracas Venezuela.ORCID https://orcid.org/0009-0004-5326-3776
Cristina López-SánchezGrupo de Investigación Clínica Médica y Terapéutica A-Escuela Luis Razetti Universidad Central de Venezuela Caracas Venezuela.ORCID https://orcid.org/0009-0009-4265-8015
José Ayala-HernándezGrupo de Investigación Clínica Médica y Terapéutica A-Escuela Luis Razetti Universidad Central de Venezuela Caracas Venezuela.ORCID https://orcid.org/0009-0008-3192-3939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 35-year-old woman with migraine and oral contraceptive use presented with pontine stroke and right vertebral artery occlusion following cervical manipulation by a lay practitioner. Managed conservatively outside the reperfusion window, she achieved progressive recovery. This case highlights a plausible temporal association between neck manipulation and ischemic events.

Indexed as

brain stem infarctionchiropractic manipulationpontine infarctionstrokevertebral artery dissection

Identifiers

PMID42903412
PMCPMC13681351

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.