Back to Search
Start Over
A near-fatal consequence of chiropractor massage: massive stroke from carotid arterial dissection and bilateral vertebral arterial oedema
- Source :
- BMJ case reports. 14(8)
- Publication Year :
- 2023
-
Abstract
- A 35-year-old Chinese man with no risk factors for stroke presented with a 2-day history of expressive dysphasia and a 1-day history of right-sided weakness. The presentation was preceded by multiple sessions of neck, shoulder girdle and upper back massage for pain relief in the prior 2 weeks. CT of the brain demonstrated an acute left middle cerebral artery infarct and left internal carotid artery dissection. MRI cerebral angiogram confirmed left carotid arterial dissection and intimal oedema of bilateral vertebral arteries. In the absence of other vascular comorbidities and risk factors, massage-induced internal carotid arterial dissection will most likely precipitate the near-fatal cerebrovascular event. The differential diagnosis of stroke in a younger population was consequently reviewed and discussed.
- Subjects :
- Adult
Male
medicine.medical_specialty
Weakness
Population
Dissection (medical)
Carotid Artery, Internal, Dissection
Internal medicine
medicine
Humans
cardiovascular diseases
education
Stroke
Massage
Vertebral Artery Dissection
education.field_of_study
Arterial dissection
business.industry
Dissection
General Medicine
medicine.disease
medicine.anatomical_structure
Shoulder girdle
Cardiology
Differential diagnosis
medicine.symptom
business
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....772dd6c56434cb8513aa2d51a09dc6c6