Back to Search Start Over

A near-fatal consequence of chiropractor massage: massive stroke from carotid arterial dissection and bilateral vertebral arterial oedema

Authors :
Timothy Yap
Li Feng
Jian Zhang
Dan Xu
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.

Details

ISSN :
1757790X
Volume :
14
Issue :
8
Database :
OpenAIRE
Journal :
BMJ case reports
Accession number :
edsair.doi.dedup.....772dd6c56434cb8513aa2d51a09dc6c6