Background

Cervical artery dissection is an important cause of stroke in the young. The etiology is still discussed controversial. The most obvious reason for a dissection of extracranial arteries is due to a trauma, eg. after car accidents or other high speed traumas such as high-velocity road traffic accidents. Besides these clear cases, chiropractic neck maneuvers represent potential reasons for vessel injuries. Case presentation: We here report a rare case of secondary cervical artery dissection after so-called cupping therapy and a preventive treatment with a direct oral anticoagulant. Conclusions: Therapists using this technique should be aware of the potentially devastating side effects. The diagnosis of ICA dissection should be considered with any new onset of unknown neck pain or headache, specifically in combination with neurological deficits.

中文翻译：

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高负压电热拔罐疗法引起的颈动脉夹层病例报告

背景

颈动脉夹层是年轻人中风的重要原因。病因学仍存在争议。解剖颅外动脉的最明显原因是由于外伤，例如。发生车祸或其他高速创伤（如高速道路交通事故）之后。除了这些明显的病例外，脊骨按摩疗法还代表了血管受伤的潜在原因。病例介绍：我们在这里报告了在所谓的拔罐疗法和直接口服抗凝剂的预防性治疗后发生的继发性子宫颈颈动脉夹层的罕见病例。结论：使用这种技术的治疗师应该意识到潜在的破坏性副作用。ICA夹层的诊断应考虑到任何新的未知的颈部疼痛或头痛发作，特别是合并神经功能缺损。