Peters M, Bohl J, Thömke F, Kallen K J, Mahlzahn K, Wandel E, Meyer zum Büschenfelde K H
I. Department of Medicine, University Hospital Mainz, Germany.
Neurology. 1995 Dec;45(12):2284-6. doi: 10.1212/wnl.45.12.2284.
A 29-year-old woman died from a right hemispheric infarction caused by dissection and subsequent thrombosis of the internal carotid artery after chiropractic manipulations of the neck. Pathologic study of several arteries of muscular and elastic type revealed a mediolytic arteriopathy with widespread mucoid degeneration and cystic transformation of the vessel wall caused by segmental degeneration of smooth muscle cells of the tunica media. We hypothesize that mediolytic arteriopathy was a predisposing factor for the dissection of the internal carotid artery after chiropractic manipulations in our patient.
一名29岁女性在接受颈部整脊推拿后，因颈内动脉夹层形成及随后的血栓形成导致右半球梗死而死亡。对多条肌型和弹性型动脉进行病理研究发现，存在中层溶解性动脉病，其特征为中膜平滑肌细胞节段性变性，导致血管壁广泛黏液样变性和囊性变。我们推测，中层溶解性动脉病是我们这位患者在接受整脊推拿后发生颈内动脉夹层的一个易感因素。
