Open AccessLetter to the Editor
Author(s) -
Peter J. Tuchin,
Stephen M. Perle
Publication year - 2016
Publication title -
qatar medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.171
H-Index - 9
eISSN - 2227-0426
pISSN - 0253-8253
DOI - 10.5339/qmj.2016.9
Subject(s) - medicine , chiropractic , causality (physics) , vertebral artery dissection , neck pain , dissection (medical) , vertebral artery , relation (database) , surgery , alternative medicine , pathology , data mining , physics , quantum mechanics , computer science
In reviewing Melikyan et al., we discuss what we think are weaknesses in the case report. The authors did not report on known risk factors for cerebrovascular accident and vertebral artery dissection. Known symptoms that appear early in vertebral artery dissection were not reported or denied, specifically related to changes in the patient's pattern of neck pain. Causality was assumed when only a weak temporal relation was involved. Finally, the case report makes it appear that the manipulation was performed by someone other than a chiropractor but therefore erroneously uses chiropractic in the title.3 page(s