AUTHOR=Cunningham John , Hoskins Wayne , Ferris Scott TITLE=Upper Trunk Brachial Plexus Palsy Following Chiropractic Manipulation JOURNAL=Frontiers in Neurology VOLUME=Volume 7 - 2016 YEAR=2016 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2016.00211 DOI=10.3389/fneur.2016.00211 ISSN=1664-2295 ABSTRACT=Introduction: Upper trunk brachial plexus palsy can result from high energy trauma and has never been reported following spinal manipulation. Background: The case is presented of a patient who developed an acute brachial plexus upper trunk palsy following spinal manipulative therapy. Discussion: Discussion is made on the incidence of complications following manipulation and recommendations to prospectively capture all serious complications. Concluding Remarks: Risks exist with spinal manipulative therapy. Neurological injury can occur. Risk assessment and re-examination should occur at every visit. Large rigorous prospective studies are required to identify the true incidence of serious complications resulting from manipulative therapy and the benefit:risk ratio.