Fritz V U, Maloon A, Tuch P
S Afr Med J. 1984 Dec 1;66(22):844-6.
Neck manipulation may cause injury to the vertebrobasilar arterial system with resultant brainstem ischaemia or infarction. This complication has been recognized for many years, and although rarely reported in the literature is a well-recognized problem encountered by neurologists. This article describes 3 patients with this condition seen at the Johannesburg Hospital. The probable pathogenesis is that a thrombus occurs at a site of vertebral artery injury created by sudden sharp neck movement chiefly between the axis and atlas. This thrombus may propagate or embolize. The therapeutic role of anticoagulants is discussed.
颈部推拿可能会损伤椎基底动脉系统，导致脑干缺血或梗死。这种并发症已被认识多年，虽然在文献中很少报道，但却是神经科医生所熟知的问题。本文描述了在约翰内斯堡医院见到的3例患有这种疾病的患者。可能的发病机制是，在主要发生于枢椎和寰椎之间的突然剧烈颈部运动所造成的椎动脉损伤部位形成血栓。这种血栓可能会扩散或发生栓塞。文中讨论了抗凝剂的治疗作用。
