Does OMPT cause CAD? “Lack of Evidence but possibly ~ 1.3 / 100,000 patients” What are the risk factors for CAD? “Many including SMT- more in the young” What are the signs and symptoms? “Headache, “5DA3N”, Cranial Nerves, UC Instability” What should be included in consent discussions? “Worst case, Small odds, Uncertainty, Alternatives”