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Cervical manipulation to a patient with a history of traumatically induced dissection of the internal carotid artery
RUBINSTEIN SM; HALDEMAN S
J MANIPULATIVE PHYSIOL THER , 2001, vol. 24, n° 8, p. 520-525 Doc n°: 103792 Localisation : Documentation IRR Descripteurs : CC62 - TRAITEMENT DE RÉÉDUCATION - RACHIS CERVICAL OBJECTIVE: To describe the use of rotational cervical manipulation in treating a patient who had undergone a traumatically induced dissection of the internal carotid artery and to review the literature on recurrent cervical artery dissections. CLINICAL FEATURES: A 21-year-old woman with hemiparesis from an internal carotid artery dissection that occurred as the result of a motor vehicle accident had neck pain and headaches. Moderate range of motion restrictions in the neck were present along with articular restrictions to movement palpation. INTERVENTION : After a year of soft-tissue treatment, we obtained detailed, informed consent from the patient to attempt diversified manipulation to the neck. The patient described greater and more immediate relief and longer pain-free periods than could be achieved by soft-tissue treatment alone. CONCLUSION: Patients with previous cervical artery dissections may present with unrelated neck pain and headaches and request treatment. In selected cases, Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2002219764 |
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