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題名 | 頸部按脊後併發之急性眩暈--病例報告=Acute Vertiginous Attack Following Chiropractic Manipulation--Case Report |
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作者 | 陳佳弘; 楊怡和; Chen, Chia-hung; Young, Yi-ho; |
期刊 | 中華民國耳鼻喉科醫學雜誌 |
出版日期 | 20010500、20010600 |
卷期 | 36:3 民90.05-06 |
頁次 | 頁194-197 |
分類號 | 416.861 |
語文 | chi |
關鍵詞 | 眩暈; 按脊治療; 椎骨動脈; 磁振血管攝影術; Vertigo; Chiropractic; Vertebral artery; Magnetic resonance angiography; |
中文摘要 | 在國外風行的按脊治療在國內方興未艾。當愈來愈多的項部酸痛病人尋求這種療法時,往往對於其潛在的危險性多不自如。本部最新經驗一例,因按脊治療後造成急性眩暈發作,經一系列平衡功能檢查懷疑是中樞前庭系病變;遂予以安排影像學檢查,結果核磁共振造影正常,但磁振血管造影檢查卻發現左側椎骨動脈完全閉塞。經保守治療,給予Dextran、血管活性製劑、維他命、及精神安定劑。一週後,病人的眩暈症狀緩解,遂囑咐病人莫再接受按脊以免傷害加劇。此例的致病因極為罕見,提醒我們椎骨動脈病變在眩暈中的角色。 |
英文摘要 | Chiropractic is a technique which focuses on disease arising in the nervous system, especially along the vertebrae and spinal nerves, with therapeutic manipulation of the spinal column a mainstay of the treatment in most cases. With increasing numbers of patiens suffering from pain, chiropractic has become increasingly popular in North America. Unfortunately, adverse effects are rarely emphasized by practitioners. A 46-year-old man is presented who suffered from chronic neck pain and who experienced acute vertigo after chiropractic manipulation. Electonystagmography identified a central vestibular lesion and magnetic resonance angiography demonstrated total occlusion of the left vertebral artery. The patient is advised to undergo no further neck manipulation. Supportive treatment was given and the vertigo subsided. In conclusion, vertebral artery lesions deserve consideration if possible neck trauma, either accidental or postchiropractic, is associated with vertigo. |
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