Division of Neurology and Gerontology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Japan.
Intern Med. 2022 Feb 1;61(3):425-428. doi: 10.2169/internalmedicine.7735-21. Epub 2021 Jul 30.
Takayasu's arteritis is an inflammatory disease of unknown etiology that causes stenosis, occlusion, or dilatation of the aorta and its major branches, the pulmonary arteries, and the coronary arteries. The incidence of extracranial carotid artery aneurysm in patients with Takayasu's arteritis is reportedly 1.8-3.9%. We herein report a patient with Takayasu's arteritis who presented with transient left hemiplegia immediately after neck massage. Carotid ultrasonography revealed a thrombus within the fusiform aneurysm on the right common carotid artery. We speculated that fragmentation from the intra-aneurysmal thrombus was caused by neck massage.
Takayasu 动脉炎是一种病因不明的炎症性疾病，可导致主动脉及其主要分支（肺动脉和冠状动脉）狭窄、闭塞或扩张。Takayasu 动脉炎患者的颅外颈动脉动脉瘤发生率为 1.8-3.9%。本文报告 1 例 Takayasu 动脉炎患者，在接受颈部按摩后立即出现短暂性左侧偏瘫。颈动脉超声显示右侧颈总动脉梭形动脉瘤内有血栓。我们推测颈部按摩导致了瘤内血栓的碎裂。
