BILATERAL TRAUMATIC INTERNAL CAROTID ARTERY DISSECTION ASSOCIATED WITH CHIROPRACTIC MANIPULATION : A CASE REPORT

DOI
  • NAKAE Ryuta
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • SASAKI Kazuma
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • KANAYA Takahiro
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • TOMINAGA Naoki
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • TAKIGUCHI Toru
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • IGARASHI Yutaka
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • HAGIWARA Jun
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • KIM Shiei
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • YOKOBORI Shoji
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • FUSE Akira
    Department of Emergency and Critical Care Medicine, Nippon Medical School
  • YOKOTA Hiroyuki
    Department of Emergency and Critical Care Medicine, Nippon Medical School

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Other Title
  • カイロプラクティックにより両側外傷性頸部内頸動脈解離を来したと考えられた1例

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Abstract

<p>　　A 41-year-old women was admitted to our hospital for seizure. Brain CT revealed subarachnoid hemorrhage (SAH) and digital subtraction angiography demonstrated an aneurysm located in the left internal carotid artery, which was thought to be the cause of SAH. In addition, bilateral cervical internal carotid artery dissections (CICADs) were identified. Clipping of the aneurysm was carried out. CT at 1 day post-procedure demonstrated cerebral infarction. According to her detailed medical story, she had begun chiropractic care 27 days before admission. Chiropractic care was considered to have caused the bilateral CICADs, which in turn caused the thromboembolism and cerebral infarction. Antiplatelet therapy was administered, and she was transferred to the rehabilitation hospital 29 days after admission. MRA at 3 months post-procedure demonstrated improvement of bilateral CICADs.</p>

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