Spontaneous Bilateral Dissection of the Vertebral Artery: A Case Report
| Autor: | Mohammed F. Almuaigel, Abdullah Alamri, Aldanah Althwanay |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
chiropractic Vertebral artery Dissection (medical) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine.artery arterial dissection Basilar artery Medicine Chiropractic manipulation vertebral arteries Arterial dissection business.industry General Engineering Neck manipulation Chiropractic medicine.disease stroke Surgery Neurology Emergency Medicine Public Health basilar stroke business neck manipulation 030217 neurology & neurosurgery Penetrating trauma |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.9310 |
| Popis: | Spontaneous dissection of the vertebral artery refers to cases that do not involve significant blunt or penetrating trauma as a precipitating factor. However, cases of spontaneous dissection of the vertebral artery do have a history of trivial or minor injury involving some degree of cervical distortion such as chiropractic neck manipulation, as the extreme hyperextension and/or rotation of the neck may create areas of stretch and lead to intimal or adventitial tears in the vertebral artery causing dissection. It is a relatively rare, potentially disabling and sometimes an under-diagnosed cause of stroke. It accounts for 2% of all ischemic strokes and 7% of the cases are bilateral. Herein we present a case of bilateral vertebral artery dissection complicated by basilar artery stroke in a young male patient following chiropractic manipulation of the neck. Neuroimaging modalities upon presentation confirmed the diagnosis. Antiplatelets were administered, and a great clinical outcome after three months was achieved. This report demonstrates the potential hazards associated with neck trauma, including chiropractic manipulation, as it is under reported in Saudi Arabia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|