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internal carotid artery dissection following chiropractic treatment in a pregnant woman with systemic lupus erythematosus颈内动脉解剖后按摩治疗系统性红斑狼疮的孕妇
Morton Chiropractic Manual Therapies 2012, 20:38
/content/20/1/38 CHIROPRACTIC MANUAL THERAPIES
CASE REPORT Open Access
Internal carotid artery dissection following
chiropractic treatment in a pregnant woman with
Systemic Lupus Erythematosus
Adam Morton
Abstract
A case of internal carotid artery dissection in a pregnant woman with Systemic Lupus Erythematosus (SLE)
immediately following chiropractic treatment is presented. The literature regarding complications of neck
manipulation during pregnancy, spontaneous dissection of craniocervical arteries in pregnancy and the
postpartum period, and dissection of craniocervical arteries in SLE are reviewed. To the best of the author’s
knowledge, this is the first case of carotid artery dissection following chiropractic treatment in a pregnant woman
published in the literature.
Keywords: Carotid dissection, Neck manipulation, SLE, Pregnancy
Background monthly since the age of 14 years. The frequency of
Dissection of the internal carotid artery accounts for ap- headache was unchanged during pregnancy. In addition
proximately 20% of cases of ischaemic stroke in young she had a history of migraine characterised by unilateral
adults. A population-based study reported the average frontal headache, the last episode of which had been 6
annual incidence rate for spontaneous internal carotid weeks earlier. There was no recent history of viral illness
artery dissection was 1.72 per 100 000 individuals [1]. and no family history of stroke. The subjects history
Several vascular and connective tissue disorders have was als
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