Dunne J W, Conacher G N, Khangure M, Harper C G
J Neurol Neurosurg Psychiatry. 1987 Mar;50(3):349-53. doi: 10.1136/jnnp.50.3.349.
Neck manipulation may uncommonly be associated with serious and even fatal vascular complications. Although well recognised, the nature of the vascular injury has only rarely been directly established by pathological examination. The case is reported of a 43-year-old man who died following neck manipulation, and in whom multiple dissecting aneurysms within both vertebral arteries were demonstrated radiologically and found at necropsy. Bilateral dissecting aneurysms were found both at the level of atlanto-axial articulation and close to the origins of the vertebral arteries. No predisposition was found, other than early atheroma consistent with the patient's age.
颈部手法治疗可能罕见地伴有严重甚至致命的血管并发症。尽管这已广为人知，但血管损伤的性质很少通过病理检查直接确定。本文报告了一例43岁男性在颈部手法治疗后死亡的病例，该患者经影像学检查发现双侧椎动脉内有多发夹层动脉瘤，并在尸检中得到证实。在寰枢关节水平以及靠近椎动脉起始处均发现双侧夹层动脉瘤。除了与患者年龄相符的早期动脉粥样硬化外，未发现其他易患因素。
