“Crick” in Neck Followed by Massage Led to Stroke: Uncommon Case of Vertebral Artery Dissection

Dutta, Gautam; Jagetia, Anita; Srivastava, Arvind K.; Singh, Daljit; Singh, Hukum; Saran, Ravindra Kumar

doi:10.1016/j.wneu.2018.04.008

Cited by 12 publications

(8 citation statements)

References 9 publications

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“…Brain CT and MRI revealed acute infarction of the left cerebellar hemisphere. Digital subtraction angiography showed narrowing and dilatation of the V3 segment of the left vertebral artery with narrowing of the V4 segment consistent with dissection, along with a cavernous segment aneurysm of the contralateral internal carotid artery [8]. Moreover, in another case, a 35-year-old Chinese man with no risk factors for stroke presented to the ER complaining of right-sided body weakness for one day following expressive dysphasia for two days.…”

Section: Discussionmentioning

confidence: 94%

Home Self-Massage Device Necessitates Public Awareness: Vertebral Artery Dissection Associated With a Home Massage Device

Shariff

Ghannam

AlDamigh

et al. 2023

Cureus

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Vertebral artery dissection (VAD) is a common cause of stroke in middle-aged individuals. Patients with VAD usually describe a trivial minor neck trauma preceding the event. Such traumas may be associated with spinal manipulation or sudden movements of the neck. Our case is a 43-year-old lady who presented with a history of sudden-onset dizziness, dysarthria, nausea/vomiting, tinnitus, and imbalance. Two days prior to her presentation, she experienced a new-onset moderate to severe intensity headache along with neck pain. The patient mentioned a first-time use of a home massage device three weeks prior to headache onset. After investigations, the patient was diagnosed with VAD, and treatment was initiated. She was discharged in stable condition. With the recent increased popularity of home massage devices, we report this case to raise awareness about the safe use of massage devices in order to prevent the occurrence of such injuries and complications.

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Section: Discussionmentioning

confidence: 94%

Home Self-Massage Device Necessitates Public Awareness: Vertebral Artery Dissection Associated With a Home Massage Device

Shariff

Ghannam

AlDamigh

et al. 2023

Cureus

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“…When considering the anatomy of the extracranial vertebral artery, it is susceptible to dissection in three segments: its origin at the subclavian artery; as it traverses the intervertebral foramen; or at the site of entry into the cranium. 2 Neurologic sequelae of VAD vary widely based on the location of the dissection and the amount of ischemic damage to the posterior circulation territory (cerebellum, brainstem, and posterior cerebrum). Early identification of VAD is crucial to improving outcomes; thus, it is imperative to maintain a high index of suspicion.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Vertebral Artery Dissection After Use of Handheld Massage Gun

Sulkowski

Grant

Brodie

2022

Clinical Practice and Cases in Emergency Medicine

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Introduction: Arterial dissection is well known as a potential cause of stroke in young patients. Vertebral artery dissection occurs most commonly in the setting of minor trauma but has been seen in cases of cervical manipulation. With advances in at-home therapeutic modalities for neck pain came the advent of handheld massage guns. These massage guns have gained considerable popularity in recent years, but their safety for use in the cervical region has not been well studied. Case report: In this case report, we discuss a 27-year-old female who presented with headache, neck pain, and dizziness who was found to have vertebral artery dissection after repetitive use of a handheld massage gun. Conclusion: In young patients presenting with headache, neck pain, and vague neurologic symptoms it is important to consider vertebral artery dissection as a cause of symptoms as it can lead to serious morbidity. When considering an inciting event such as minor trauma, it may also be important to assess whether there has been use of a handheld massage gun. Although causality is difficult to establish, with the increase in use of handheld massage guns we may find more frequent association between their use and vertebral artery dissection.

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“…Fracture of back bone [28] Massage of low back Fracture of vertebral pedicle Neck massage by arteriosclerotic carotid vessels, Vertebral artery dissection [29] Massage of lateral and frontal part of neck Vertigo, thromboembolism, Acute stage of injury [30] Area of injury is too pain full thromboembolism, Neck massage with manipulation [31] On neck vertebra Cervical epidural hematoma…”

Section: Illness Application Negative Effectmentioning

confidence: 99%

Massage and Its Effect on Some Health Conditions

Ramova¹

2019

WJYPR

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The massage is the first therapy that every child comes in contact after its born, every mammal after its born. We see on massage from medical science on its effect by many illnesses on cellular level. The aim of our research is to make one rewire for therapy effect of massage by some illnesses, and prove it, by medical assessment tools. Material and method:We have made one investigation on medical data bases, to resolve all our knowledge and compare with other researchers world way for therapy effect of massage. Results:We have represented our research in three parts: effect of aromatherapy, application of massage by some illnesses and side effects from massage.Discussion: Many researchers proved the therapy effect of some traditional form of massage and medical massage too. It is accept from Association of Physical medicine doctors of Europe, like a therapy modality. Conclusion:Massage has many positive health effects, but medical staff and massage practioners must be careful and to expect some complications specially in area of osteoporotic bones and vessels.

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“Crick” in Neck Followed by Massage Led to Stroke: Uncommon Case of Vertebral Artery Dissection

Cited by 12 publications

References 9 publications

Home Self-Massage Device Necessitates Public Awareness: Vertebral Artery Dissection Associated With a Home Massage Device

Home Self-Massage Device Necessitates Public Awareness: Vertebral Artery Dissection Associated With a Home Massage Device

Case Report: Vertebral Artery Dissection After Use of Handheld Massage Gun

Massage and Its Effect on Some Health Conditions

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