Romiyo Prasanth, Furst Taylor, George Derek D, Ellens Nathaniel, Bender Matthew T, Harrigan Mark R
Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York.
The University of Alabama at Birmingham, Alabama.
J Neurosurg Case Lessons. 2025 May 26;9(21). doi: 10.3171/CASE24812.
Vertebral artery dissection is a rare condition often due to blunt cerebrovascular injury (BCVI). Electric massage devices have rarely been documented as an etiology of BCVI; however, their use has become widespread. The authors present an illustrative case and literature review of right vertebral artery BCVI and cerebellar infarct following the use of an antique electric massage device.
A 65-year-old male presented with acute onset vertigo and nausea after using an antique electric massage device on his neck to relieve muscle tension. BCVI in the right vertebral artery was identified via CT angiography (CTA). MRI of the brain confirmed associated cerebellar infarction. Follow-up catheter cerebral angiography confirmed a right V3 segment intraluminal thrombus and V4 segment dissection. After inpatient observation, the patient was discharged on oral anticoagulation. At the 1-month follow-up, he reported no new symptoms, and CTA revealed resolution of the V3 thrombus and healing V4 dissection.
The authors report the first case of MRI-proven stroke in association with vertebral artery BCVI after the use of an antique electric massage device. This case highlights the need for kinetic studies to assess the force distribution of percussive instruments in an effort to prevent injuries. https://thejns.org/doi/10.3171/CASE24812.
椎动脉夹层是一种罕见疾病，通常由钝性脑血管损伤（BCVI）引起。电动按摩设备很少被记录为BCVI的病因；然而，其使用已变得广泛。作者报告了一例使用古董电动按摩设备后发生右椎动脉BCVI和小脑梗死的典型病例及文献综述。
一名65岁男性在使用古董电动按摩设备按摩颈部以缓解肌肉紧张后，出现急性眩晕和恶心症状。通过CT血管造影（CTA）确定右椎动脉存在BCVI。脑部MRI证实伴有小脑梗死。后续导管脑血管造影证实右V3段管腔内血栓形成及V4段夹层。经过住院观察，患者出院时接受口服抗凝治疗。在1个月的随访中，他报告没有新症状，CTA显示V3血栓溶解，V4夹层愈合。
作者报告了首例经MRI证实的使用古董电动按摩设备后发生的与椎动脉BCVI相关的中风病例。该病例强调需要进行动力学研究以评估冲击器械的力分布，以预防损伤。https://thejns.org/doi/10.3171/CASE24812 。
