Cui Ying-Xue, Song Chuan-Jin, Hou Xue-Si, Liu Gui-Lin, Ji Xu, Wang Shao-Song
Department of Neurology, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China.
Chin Med Sci J. 2024 Jun 30;39(2):149-154. doi: 10.24920/004336.
Vertebral artery dissection is a rare pathology that can cause ischemic stroke in young people. Cervical massage, especially improper pulling manipulation, is a cause of vertebral artery dissection. We present a case of 32-year-old woman who developed acute multiple posterior circulation ischemic cerebral infarctions as a result of left vertebral artery V4 segment dissection after receiving neck massage. She underwent emergency vertebral artery stent implantation at the site of the dissection. Symptoms were relieved the day after treatment. The patient recovered without adverse complications or endovascular restenosis in the following year.
椎动脉夹层是一种可导致年轻人缺血性卒中的罕见病理情况。颈部按摩，尤其是不当的牵拉手法，是椎动脉夹层的一个病因。我们报告一例32岁女性病例，该患者在接受颈部按摩后因左椎动脉V4段夹层而发生急性多发性后循环缺血性脑梗死。她在夹层部位接受了急诊椎动脉支架植入术。治疗后第二天症状缓解。患者在接下来的一年中康复，未出现不良并发症或血管内再狭窄。
