A contraindication to routine neck manipulation examinations in patients with acute vertigo: vertebral artery dissection.

Chen CW; Ng SH; Wu CM

首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >A contraindication to routine neck manipulation examinations in patients with acute vertigo: vertebral artery dissection.

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A contraindication to routine neck manipulation examinations in patients with acute vertigo: vertebral artery dissection.

机译：急性眩晕患者的常规颈部操作检查的禁忌症：椎动脉夹层。

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Although acute vertigo is common and typically of benign origin, some underlying etiologies may be life threatening. Prompt diagnosis and treatment of such verti-gos of central origin is therefore critical to the prognosis. Vertebral artery dissection (VAD), one life-threatening etiology, can manifest in patients with acute vertigo, headache, neck pain, and sudden deafness. Because these symptoms are nonspecific, early detection of VAD is difficult and often overlooked in patients presenting with acute vertigo. Routine vestibular tests, including positioning and position testing, as well as neck manipulation maneuvers, have the potential to aggravate the severity of the dissection. Herein, a patient with VAD who presented with acute vertigo and neck pain is described. Vigilant recording of patient history may alert physicians to the existence of insidious VAD, and procedures that may endanger patients can thus be avoided.

机译：尽管急性眩晕很常见，而且通常是良性起源的，但一些潜在的病因可能威胁生命。因此，迅速诊断和治疗这种中心起源的眩晕对预后至关重要。椎动脉解剖（VAD）是一种危及生命的病因，可在患有急性眩晕，头痛，颈部疼痛和突发性耳聋的患者中出现。由于这些症状是非特异性的，因此在出现急性眩晕的患者中，VAD的早期检测很困难，并且常常被忽略。常规的前庭测试，包括定位和位置测试，以及颈部操作技巧，有可能加重解剖的严重性。在此，描述了患有急性眩晕和颈部疼痛的VAD患者。警惕地记录患者的病史可能会提醒医生注意隐匿性VAD的存在，因此可以避免可能危及患者的手术。

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《Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery》 |2009年第1期|共2页
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Chen CW; Ng SH; Wu CM;
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中图分类耳鼻咽喉科学;外科学各论;
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1. A contraindication to routine neck manipulation examinations in patients with acute vertigo: vertebral artery dissection. [J] . Chen CW, Ng SH, Wu CM Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery . 2009,第1期

机译：急性眩晕患者的常规颈部操作检查的禁忌症：椎动脉夹层。
2. Duplex Sonography of Vertebral Arteries for Evaluation of Patients with Acute Vertigo [J] . Peiman Nazerian, Sofia Bigiarini, Rudi Pecci, Ultrasound in Medicine and Biology . 2018,第3期

机译：椎动脉的双工超声检查评估急性眩晕患者
3. Vertebral artery dissection in a patient practicing self-manipulation of the neck [J] . John S. Mosbya, aStephen M. Durayb Journal of chiropractic medicine . 2011,第4期

机译：进行颈部自我操纵的患者的椎动脉解剖
4. Contrast between magnetocardiography and electrocardiography for the early diagnosis of coronary artery disease in patients with acute chest pain [C] . Lin Le-jian, Tang Fa-kuan, Hua Ning, Computing in Cardiology 2011 . 2011

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A contraindication to routine neck manipulation examinations in patients with acute vertigo: vertebral artery dissection.

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