Internal carotid artery pseudoaneurysm after neck manipulation in a patient with Eagle syndrome
Books and documents
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Structural and chiropractic
Clin Case Rep. 2024 Apr 29;12(5):e8814. doi: 10.1002/ccr3.8814. eCollection 2024 May.
Authors:
Ahmed Gamal Sayed, Hesham Aboloyoun, Yasmine Saad Makarem, Ashraf Elnaggar
Abstract.
Key clinical message: Contraindications of spinal manipulative therapy (SMT) have been proposed, which mandate rigorous control for its safe practice when manipulating the upper spine. Here, we report a vascular complication of Neck Manipulation in Eagle syndrome (ES) patient. Abstract: SMT is used to treat musculoskeletal conditions such as back pain and neck pain by applying force to the spinal joints. Here, we report a rare but devastating complication of SMT, where a young male patient, 22 years old, with ES, had a large pseudoaneurysm from the internal carotid artery (ICA) after SMT from an unlicensed practitioner, treated successfully with endograft. Clinicians administering SMT should consider an elongated styloid process as a potential contraindication to this therapy.
Publication Date:
2024 Apr
OEID:
7261
Sayed, GA., Aboloyoun, H., Makarem, SY., Elnaggar, A. (2024) 'Internal carotid artery pseudoaneurysm after neck manipulation in a patient with Eagle syndrome', Clin Case Rep. 2024 Apr 29;12(5):e8814. doi: 10.1002/ccr3.8814. eCollection 2024 May.
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