[整脊手法治疗后颈动脉夹层并发霍纳综合征]
[Horner's syndrome in dissection of the carotid artery after chiropractic manipulation].
作者信息
Gamer Daphne, Schuster Andreas, Aicher Klaus, Apfelstedt-Sylla Eckart
机构信息
Universitäts-Augenklinik Tübingen, Abteilung für Pathophysiologie des Sehens und Neuroophthalmologie, Germany.
出版信息
Klin Monbl Augenheilkd. 2002 Sep;219(9):673-6. doi: 10.1055/s-2002-35171.
CASE REPORT
We report on a 37-year old patient with sudden onset of pain of the right scalp and an ipsilateral small pupil, presenting five weeks after chiropractic manipulation of the neck.
METHODS/RESULTS: Pharmacologic pupil testing showed a postganglionic Horner's syndrome on the right side. Magnetic resonance angiography confirmed the diagnosis of a dissection of the right internal carotid artery at a subacute stage.
CONCLUSION
There appears to be a causal relationship between carotid artery dissection and the chiropractic manipulation of the cervical spine. Ophthalmological signs played the key role in detecting this complication.
病例报告
我们报告了一名37岁患者，在接受颈部整脊推拿治疗五周后，突然出现右侧头皮疼痛和同侧小瞳孔。
方法/结果：药理学瞳孔测试显示右侧为节后霍纳综合征。磁共振血管造影证实右侧颈内动脉处于亚急性期夹层。
结论
颈动脉夹层与颈椎整脊推拿之间似乎存在因果关系。眼科体征在检测这一并发症中起了关键作用。
Zotero 插件