Vertebral Artery Stenting for Acute Multiple Cerebral Infarctions Caused by Vertebral Artery Dissection After Massage: A Case Report

Abstract

Abstract Background: Vertebral artery dissection (VAD) is a special cause of ischaemic stroke in young patients. Cervical vertebrae massage, especially improper pulling manipulation, is one cause of vertebral artery dissection. The best therapy for acute VAD, whether conservative antithrombotic therapy or emergency endovascular therapy, has always been a topic of discussion. Case presentation: The case of a young woman with acute multiple posterior circulation ischaemic cerebral infarction caused by left vertebral artery V4 segment dissection after improper neck massage is reported. Due to the serious condition of the patient, we performed emergency vertebral artery stent implantation at the site of dissection. The symptoms of the patient were significantly relieved on the second day. She recovered well in the later period without adverse complications or intravascular restenosis in the following year. Conclusions: Endovasculartherapy may be an effective measure to quickly relieve clinical symptoms and reduce serious complications in patients with acute VAD. Additional clinical observations are needed.