A review of 52 cases of vertebrobasilar infarct was performed to ascertain the frequency and types of symptoms and signs that accompanied the reported cases of infarct (1-33). In last month's column the symptoms associated with vertebrobasilar infarct were reviewed. The following is a review of the reported neurological signs associated with vertebrobasilar infarct.
| # | Signs noted |
| 19 | Cerebellar signs: ataxia, dyssynergia, dysmetria, etc. |
| 18 | Rotatory nystagmus |
| 17 | Facial nerve palsy |
| 15 | Paresthesia, decreased pain in trigeminal distribution |
| 12 | Paresthesia, decreased pain in body |
| 11 | Tandem gait veering |
| 11 | Asymmetrical pupils |
| 8 | Ptosis |
| 8 | Babinski's sign |
| 8 | Palatal paresis |
| 6 | Confusion |
| 6 | Dysarthria |
| 6 | Decreased arm/leg strength |
| 4 | Diplopia |
| 4 | Decreased corneal reflex |
| 4 | Cranial nerve VI palsy |
| 4 | Hyperreflexia |
| 4 | Quadriplegia |
| 4 | Visual field loss |
| 4 | Tongue deviation |
| 3 | Hoarseness |
| 3 | Dysphagia |
| 2 | Decreased hearing |
| 2 | Tinnitus |
| 1 | Drowsiness |
| 1 | Decreased position sense |
| 1 | Cranial nerve IV palsy |
| 1 | Grasp, suck reflexes |
| 1 | Respiratory paralysis |
Should the chiropractic physician suspect that a patient is suffering from vertebrobasilar infarct, a neurological examination would be in order to better ascertain the extent of neurological involvement. The anatomical basis for the most common symptoms and signs of vertebrobasilar infarct will be discussed in detail in this column's next installment.
References
When sports chiropractors first appeared at the Olympic Games in the 1980s, it was alongside individual athletes who had experienced the benefits of chiropractic care in their training and recovery processes at home. Fast forward to Paris 2024, where chiropractic care was available in the polyclinic for all athletes, and the attitude has now evolved to recognize that “every athlete deserves access to sports chiropractic."
It is estimated that 61% of patients with CTS avoid taking surgical options due to postoperative complications and costly surgical procedures. Chiropractic care offers a comprehensive and effective treatment for carpal tunnel syndrome, addressing the condition from multiple angles. Recent studies also have unveiled a game-changing adjunct to chiropractic treatments for CTS: nerve flossing.
Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
