DeBehnke D J, Brady W
Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee 53226.
J Emerg Med. 1994 Jan-Feb;12(1):27-31. doi: 10.1016/0736-4679(94)90008-6.
Vertebral artery dissection has been previously reported following minor head and neck trauma. Such activities as rapid head turning, tennis, yoga, and vigorous exercise have been implicated. We report a case of vertebral artery dissection following minor neck trauma suffered in a volleyball game. The anatomy of the vertebral artery, pathophysiology of dissection, and emergency department recognition and treatment of this disorder are discussed.
既往曾有报道称,轻微的头颈部创伤后会发生椎动脉夹层。诸如快速转头、打网球、练瑜伽以及剧烈运动等活动都被认为与之有关。我们报告一例在排球比赛中颈部受到轻微创伤后发生椎动脉夹层的病例。本文将讨论椎动脉的解剖结构、夹层的病理生理学以及急诊科对该病症的识别与治疗。