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Extracranial vertebral artery rupture likely secondary to “cupping therapy” superimposed on spontaneous dissection

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences | 3 Aug 2016

JY Choi, CW Huh, CH Choi and JI Lee
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.
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Concepts
Vertebral artery, Alternative medicine, Vertebral artery dissection, Acupuncture, Gua Sha, Fire cupping, Stroke, Traditional Chinese medicine
MeSH headings
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