关键词: Eagle syndrome cerebrovascular stroke chiropractic endograft internal carotid artery pseudoaneurysm

来  源:   DOI:10.1002/ccr3.8814   PDF(Pubmed)

Abstract:
UNASSIGNED: Contraindications of spinal manipulative therapy (SMT) have been proposed, which mandate rigorous control for its safe practice when manipulating the upper spine. Here, we report a vascular complication of Neck Manipulation in Eagle syndrome (ES) patient.
UNASSIGNED: SMT is used to treat musculoskeletal conditions such as back pain and neck pain by applying force to the spinal joints. Here, we report a rare but devastating complication of SMT, where a young male patient, 22 years old, with ES, had a large pseudoaneurysm from the internal carotid artery (ICA) after SMT from an unlicensed practitioner, treated successfully with endograft. Clinicians administering SMT should consider an elongated styloid process as a potential contraindication to this therapy.
摘要:
已经提出了脊柱操纵疗法(SMT)的禁忌症,在操纵上脊柱时,要求严格控制其安全实践。这里,我们报告了Eagle综合征(ES)患者颈部手法的血管并发症。
SMT用于通过向脊柱关节施加力来治疗肌肉骨骼疾病,例如背痛和颈部疼痛。这里,我们报告了一种罕见但破坏性的SMT并发症,一个年轻的男性病人,22岁,对于ES,在无证执业医师进行SMT后,颈内动脉(ICA)出现了大的假性动脉瘤,内移植物治疗成功。使用SMT的临床医生应将细长的茎突视为该疗法的潜在禁忌症。
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