American Heart Association American Stroke Association Position Paper Re: Cervical Artery Dissection y Based on the joint AHA/ASA position paper what can be said: ◦ “There is insufficient evidence to establish the claim that CMT causes CD” ◦ “It is unclear whether this [an epidemiological association] is due to lack of recognition of preexisting CD in these patients or due to trauma caused by CMT” ◦ There is an epidemiological association between patient visits for chiropractic as well as for primary medical care with the association being stronger for the primary medical care visits [Cassidy;SPINE, 1/15/08]
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