Abstract
A 34-year-old man presented to the emergency department with 1 day of sudden-onset headache after chiropractic cervical spinal manipulation. He had nausea with a postural headache that was relieved by lying flat. He had a nonfocal neurologic examination and underwent computed tomography (CT) angiography of the head and neck, which demonstrated no vascular dissection or subarachnoid hemorrhage. Neurology was consulted and recommended magnetic resonance imaging (MRI) of the brain and cervical spine (Figures 1-3).
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