BACKGROUND There are few reported cases of intracranial large artery embolism due to carotid thrombosis caused by a neck massager.Herein we report such a case.CASE SUMMARY A 49-year-old woman presented with left limb ...BACKGROUND There are few reported cases of intracranial large artery embolism due to carotid thrombosis caused by a neck massager.Herein we report such a case.CASE SUMMARY A 49-year-old woman presented with left limb weakness and dysarthria after a history of neck massage for 1 mo.Neurological examination showed left central facial paralysis and left hemiparesis with a National Institutes of Health Stroke Scale score of 12.Brain magnetic resonance imaging revealed restricted diffusion on diffusion-weighted imaging in the right parietal and temporal lobes.Computed tomography angiography(CTA)indicated M3 segment embolism of the right middle cerebral artery.Neck CTA revealed thrombosis of the bilateral common carotid arteries.Carotid ultrasound showed thrombosis in the bilateral common carotid arteries(approximately 2 cm below the proximal end of the carotid sinus),and contrast-enhanced ultrasound did not suggest enhancement.No hypertension,diabetes,heart disease,vasculitis,or thrombophilia was found after admission.After 1 wk of treatment with aspirin 200 mg and atorvastatin 40 mg,a carotid ultrasound reexamination showed that the thrombosis had significantly reduced.CONCLUSION Neck massager may cause carotid artery thrombosis.展开更多
Objective: To observe the clinical effects of electroacupuncture(EA) plus tuina for cervical spondylotic radiculopathy. Methods: One hundred and twenty cases with cervical spondylotic radiculopathy were divided random...Objective: To observe the clinical effects of electroacupuncture(EA) plus tuina for cervical spondylotic radiculopathy. Methods: One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results: The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different(P<0.05). Conclusion: EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.展开更多
基金Supported by Zhejiang Traditional Chinese Medicine Science and Technology Program,No.2023ZL259.
文摘BACKGROUND There are few reported cases of intracranial large artery embolism due to carotid thrombosis caused by a neck massager.Herein we report such a case.CASE SUMMARY A 49-year-old woman presented with left limb weakness and dysarthria after a history of neck massage for 1 mo.Neurological examination showed left central facial paralysis and left hemiparesis with a National Institutes of Health Stroke Scale score of 12.Brain magnetic resonance imaging revealed restricted diffusion on diffusion-weighted imaging in the right parietal and temporal lobes.Computed tomography angiography(CTA)indicated M3 segment embolism of the right middle cerebral artery.Neck CTA revealed thrombosis of the bilateral common carotid arteries.Carotid ultrasound showed thrombosis in the bilateral common carotid arteries(approximately 2 cm below the proximal end of the carotid sinus),and contrast-enhanced ultrasound did not suggest enhancement.No hypertension,diabetes,heart disease,vasculitis,or thrombophilia was found after admission.After 1 wk of treatment with aspirin 200 mg and atorvastatin 40 mg,a carotid ultrasound reexamination showed that the thrombosis had significantly reduced.CONCLUSION Neck massager may cause carotid artery thrombosis.
基金support of Project from the Major and Special Funds of Shanghai Science and Technology Commission(No.10DZ1950700)Lu’s Acupuncture Inheritance Study of Shanghai Schools of Traditional Chinese Medicine(No.201204)
文摘Objective: To observe the clinical effects of electroacupuncture(EA) plus tuina for cervical spondylotic radiculopathy. Methods: One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results: The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different(P<0.05). Conclusion: EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.
