title: Extracranial internal carotid artery dissection secondary to neck massage: visualization of mural hematoma by MRI.
abstract: A 52-year-old man was admitted due to a severe pain in the right side of the neck and a progressive weakness of the left-side extremities. One week prior to admission, the patient began to use massage balls to relieve his long-lasting nuchal soreness. Carotid arteriography revealed a segment of tapered stenosis of the extracranial internal carotid artery with distal occlusion at the proximal middle cerebral artery. Magnetic resonance imaging (MRI) demonstrated a well-defined mural hematoma which is a distinctive feature of arterial dissection.
authors.affiliation: Department of Neurology, Kaohsiung Medical College, Taiwan, Republic of China.
authors.forename: J S
authors.initials: JS
authors.lastname: Liu
authors.forename: T C
authors.initials: TC
authors.lastname: Tsai
authors.forename: Y Y
authors.initials: YY
authors.lastname: Chang
mesh_terms: D002340:Carotid Artery Diseases / Q000175:diagnosis*; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008405:Massage / Q000009:adverse effects*; D008875:Middle Aged; D009333:Neck; D011859:Radiography