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  • 1
    ISSN: 1437-2320
    Keywords: Key words Cerebral ischemia ; Cervical artery dissection ; Chiropractic manipulation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 50-year-old woman presented a sudden left occipital headache and a posterior circulation stroke after cervical manipulation for neck pain. Magnetic resonance imaging documented a left intracranial vertebral artery occlusive dissection associated with an ipsilateral internal carotid artery dissection with vessel stenosis in its prepetrous tract. This is the first reported case showing an associate vertebral and carotid artery dissection following cervical manipulation. Carotid dissection was asymptomatic and, therefore, its incidence may be underestimated. We emphasize that cervical manipulation should be performed only in patients without predisposing factors for artery dissection and after an appropriate diagnosis of neck pain.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1590-3478
    Keywords: Cerebral ischemia ; livedo reticularis ; Sneddon syndrome ; coagulation defect
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Sommario L'associazione di lesioni cerebrovascolari ischemiche e livedo reticularis è conosciuta come sindrome di Sneddon. La sua eziopatogenesi non è ancora stata chiarita. Noi descriviamo un caso in cui sono stati documentati un aumento dell'attività del fattore VII della coagulazione ed una carenza della forma libera della proteina S.
    Notes: Abstract The association of ischemic cerebrovascular lesions with livedo reticularis is known as Sneddon syndrome. It affects young subjects, primarily women, and its neurological manifestations are TIAs, ischemic stroke, progressive dementia and epileptic seizures. Its etiopathogenesis has still to be clarified. Some authors have associated it with an antiphospholipid antibody syndrome. Recently it has been assumed that a defect in blood coagulation may be involved in its pathogenesis. Here we report a case in which both an increase in coagulation factor VII activity and a deficiency in free protein S were documented.
    Type of Medium: Electronic Resource
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