Bilateral carotid and bilateral vertebral artery dissection following facial massage.
A 50-year-old woman underwent facial massage. After 13 days, she experienced left retro-orbital pain, ptosis, and miosis. Magnetic resonance imaging (MRI) showed stenotic dissection of bilateral cervical internal carotid and vertebral arteries. The intracranial vasculature was intact. She was treated conservatively with long-term oral anticoagulation and remains asymptomatic 18 months later.
Chakrapani
Andrea L
AL
Department of Radiology, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York 10021, USA. laueran@ohsu.edu
Zink
Walter
W
Zimmerman
Robert
R
Riina
Howard
H
Benitez
Ronald
R
D000284:Administration, Oral; D000925:Anticoagulants / Q000008:administration & dosage; D001763:Blepharoptosis / Q000209:etiology; D020215:Carotid Artery, Internal, Dissection / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005145:Face; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008405:Massage / Q000009:adverse effects*; D008875:Middle Aged; D015877:Miosis / Q000209:etiology; D010146:Pain / Q000209:etiology; D016896:Treatment Outcome; D020217:Vertebral Artery Dissection / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology
D000925:Anticoagulants