Vertebral Artery Dissection Probably Caused by Massage: A Case Report

Chen, Weijian; Qiao, Hui; Fang, Guiting; Zhong, Xing

doi:10.24920/003480

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…However, this case only had an injury severity score of 1. Chen reported a case of vertebral artery dissection probably caused by massage that almost resulted in the patient's death [3]. Even minor impact of the neck can injure the vertebral artery, although motor vehicle accidents or other impact mechanisms that induce rapid deceleration with stretching of the cervical artery over the lateral masses of the cervical vertebrae are the most common forms of trauma resulting in vascular dissections [4].…”

Section: Discussionmentioning

confidence: 99%

Delayed Sudden Respiratory Arrest After a High-energy Motorcycle Accident

Ohsaka

Jitsuiki

Yanagawa

2019

Cureus

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A 50-year-old man driving a motorcycle at 100 kph crashed at a curve on a racing course. On arrival, he had clear consciousness, and his vital signs showed mild hypertension and tachycardia. His chief complaint was general pain. The only physiological finding was a labile injury. Whole-body computed tomography only showed fluid collection at the left maxillary sinus. While waiting on the results of a blood examination in the emergency room (ER), monitoring triggered an alarm due to a reduction in the percutaneous oxygen saturation. When a nurse checked him, he lost consciousness and entered respiratory arrest, showing left conjugated deviation and a palpable radial artery. He underwent indwelling tracheal intubation with mechanical ventilation. On the second hospital day, he regained consciousness and respiration and was therefore extubated. Brain magnetic resonance imaging revealed cerebellar infarction due to occlusion of a right vertebral artery, probably due to traumatic dissection. He was ultimately discharged on foot. This is a rare case of sudden-onset coma with respiratory arrest in the ER after a traffic accident due to occlusion of the right vertebral artery despite a clear consciousness on arrival. Physicians should closely monitor high-energy traffic accident victims, even when the patient has a clear consciousness and only minor physiological findings.

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Section: Discussionmentioning

confidence: 99%

Delayed Sudden Respiratory Arrest After a High-energy Motorcycle Accident

Ohsaka

Jitsuiki

Yanagawa

2019

Cureus

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Intracranial large artery embolism due to carotid thrombosis caused by a neck massager: A case report

Pan¹,

Wang²,

Cai³

et al. 2023

World J Clin Cases

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BACKGROUND There are few reported cases of intracranial large artery embolism due to carotid thrombosis caused by a neck massager. Herein we report such a case. CASE SUMMARY A 49-year-old woman presented with left limb weakness and dysarthria after a history of neck massage for 1 mo. Neurological examination showed left central facial paralysis and left hemiparesis with a National Institutes of Health Stroke Scale score of 12. Brain magnetic resonance imaging revealed restricted diffusion on diffusion-weighted imaging in the right parietal and temporal lobes. Computed tomography angiography (CTA) indicated M3 segment embolism of the right middle cerebral artery. Neck CTA revealed thrombosis of the bilateral common carotid arteries. Carotid ultrasound showed thrombosis in the bilateral common carotid arteries (approximately 2 cm below the proximal end of the carotid sinus), and contrast-enhanced ultrasound did not suggest enhancement. No hypertension, diabetes, heart disease, vasculitis, or thrombophilia was found after admission. After 1 wk of treatment with aspirin 200 mg and atorvastatin 40 mg, a carotid ultrasound reexamination showed that the thrombosis had significantly reduced. CONCLUSION Neck massager may cause carotid artery thrombosis.

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Vertebral Artery Dissection Probably Caused by Massage: A Case Report

Cited by 2 publications

References 8 publications

Delayed Sudden Respiratory Arrest After a High-energy Motorcycle Accident

Delayed Sudden Respiratory Arrest After a High-energy Motorcycle Accident

Intracranial large artery embolism due to carotid thrombosis caused by a neck massager: A case report

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