title: Extracranial vertebral artery rupture likely secondary to "cupping therapy" superimposed on spontaneous dissection.
abstract: The extracranial vertebral artery (VA) is vulnerable to dissection and the V3 segment is the most common location for dissection. Dissection accounts for about 2% of all ischemic strokes and can occur after trauma or chiropractic neck maneuvers. We report an extremely rare case of spontaneous extracranial VA dissection presenting with posterior neck hematoma aggravated after cupping therapy, a treatment in traditional Oriental medicine. We treated the patient successfully by endovascular treatment without any complication.
authors.affiliation: Department of Neurosurgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Korea.
authors.forename: Jae Young
authors.initials: JY
authors.lastname: Choi
authors.affiliation: Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Chae Wook
authors.initials: CW
authors.lastname: Huh
authors.affiliation: Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Chang Hwa
authors.initials: CH
authors.lastname: Choi
authors.affiliation: Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea medifirst@pusan.ac.kr.
authors.forename: Jae Il
authors.initials: JI
authors.lastname: Lee
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery; D002404:Catheterization; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D046649:Hematoma, Subdural, Spinal / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D055670:Medicine, Korean Traditional; D008875:Middle Aged; D009333:Neck / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D020217:Vertebral Artery Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*
keywords: Vertebral artery dissection; cupping; endovascular treatment; neck hematoma