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Interv Neuroradiol. 2016 Dec;22(6):728-731. Epub 2016 Aug 1.

Extracranial vertebral artery rupture likely secondary to "cupping therapy" superimposed on spontaneous dissection.

Author information

1
Department of Neurosurgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Korea.
2
Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
3
Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea medifirst@pusan.ac.kr.

Abstract

The extracranial vertebral artery (VA) is vulnerable to dissection and the V3 segment is the most common location for dissection. Dissection accounts for about 2% of all ischemic strokes and can occur after trauma or chiropractic neck maneuvers. We report an extremely rare case of spontaneous extracranial VA dissection presenting with posterior neck hematoma aggravated after cupping therapy, a treatment in traditional Oriental medicine. We treated the patient successfully by endovascular treatment without any complication.

KEYWORDS:

Vertebral artery dissection; cupping; endovascular treatment; neck hematoma

PMID:
27481914
PMCID:
PMC5564355
DOI:
10.1177/1591019916659264
[Indexed for MEDLINE]
Free PMC Article

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