Mas J L, Henin D, Bousser M G, Chain F, Hauw J J
Service de Neurologie, Centre Raymond Garcin, CHS Sainte-Anne, Paris, France.
Neurology. 1989 Apr;39(4):512-5. doi: 10.1212/wnl.39.4.512.
A 35-year-old woman with 3 weeks of cervical pain developed ischemia in the basilar artery territory following cervical manipulation. At autopsy, there was a dissecting aneurysm within the third segment of the right vertebral artery. The pathologic changes in the lower and the upper part of the dissecting aneurysm were different, indicating recurring bleeding. Cervical manipulation could have accounted for one recent dissection, but not for another, which was a few weeks old. This suggests that cervical pain, which prompted the manipulation, may have been the first symptom of the dissection, and manipulation of the neck precipitated the stroke by inducing bleeding within the dissecting aneurysm.
一名35岁女性，颈部疼痛3周，在接受颈部推拿后出现基底动脉供血区缺血。尸检发现右椎动脉第三段有一个夹层动脉瘤。夹层动脉瘤上下部分的病理变化不同，提示有反复出血。颈部推拿可能导致了近期的一次夹层形成，但无法解释几周前的另一次夹层。这表明引发推拿的颈部疼痛可能是夹层的首发症状，颈部推拿通过促使夹层动脉瘤内出血而引发了中风。
