This case involves a young female patient in North Dakota who sought chiropractic treatment for chronic back pain, which she had endured for several months. She received a chiropractic spinal manipulation and adjustment the day before the incident in question. The following day the patient presented to the emergency room after experiencing a loss of sensation on her right side, and was investigated for stroke. Despite immediate treatment with tPA, the patient’s condition continued to deteriorate, and she was left with severe and permanent disabilities. It was alleged that the woman’s stroke was caused by the chiropractic manipulation.