Dissection of the internal carotid artery after chiropractic manipulation of the neck

被引：73
|
作者：
Peters, M
Bohl, J
Thomke, F
Kallen, KJ
Mahlzahn, K
Wandel, E
zumBuschenfelde, KHM
机构：
[1] UNIV MAINZ KLINIKUM,DEPT MED 1,D-55101 MAINZ,GERMANY
[2] UNIV MAINZ KLINIKUM,DEPT NEUROPATHOL,D-55101 MAINZ,GERMANY
[3] UNIV MAINZ KLINIKUM,DEPT NEUROL,D-55101 MAINZ,GERMANY
[4] UNIV MAINZ KLINIKUM,DEPT PATHOL,D-55101 MAINZ,GERMANY
来源：
NEUROLOGY | 1995年 / 45卷 / 12期
关键词：
D O I：
10.1212/WNL.45.12.2284
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 29-year-old woman died from a right hemispheric infarction caused by dissection and subsequent thrombosis of the internal carotid artery after chiropractic manipulations of the neck. Pathologic study of several arteries of muscular and elastic type revealed a mediolytic arteriopathy with widespread mucoid degeneration and cystic transformation of the vessel wall caused by segmental degeneration of smooth muscle cells of the tunica media. We hypothesize that mediolytic arteriopathy was a predisposing factor for the dissection of the internal carotid artery after chiropractic manipulations in our patient.
引用
收藏
页码：2284 / 2286
页数：3
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