title: "Shiatsu sympathectomy": ICA dissection associated with a shiatsu massager.
abstract: Carotid dissection is a well-described complication of head and neck trauma. Two cases of carotid dissection that occurred after use of shiatsu-type massagers are described. This potential cause should be considered when evaluating patients with idiopathic carotid dissection.
authors.affiliation: Section of Neurology, Virginia Mason Medical Center, Seattle, WA 98111, USA. Michael.Elliott@vmmc.org
authors.forename: Michael A
authors.initials: MA
authors.lastname: Elliott
authors.forename: Lynne P
authors.initials: LP
authors.lastname: Taylor
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D020212:Carotid Artery Injuries / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006261:Headache / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008405:Massage / Q000009:adverse effects*; D008875:Middle Aged; D019547:Neck Pain / Q000188:drug therapy / Q000209:etiology
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D001241:Aspirin