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Sanxiang Metropolis Daily, Xinhunan Client, October 28 (All-media reporter Li Qi, correspondent Wang Zhen, Yi Haibo, Zhu Wenqing, video Li Qi) 39-year-old Changsha citizen Cao Li (pseudonym), recently underwent a neck massage due to shoulder and neck discomfort. After that, he suddenly appeared with symptoms such as weakness and slurred speech in his right limb, and was rushed to Changsha Central Hospital and diagnosed with "acute cerebral infarction".
October 29 is the 16th "World Stroke Day", doctors remind: In recent years, the department of neurology of the hospital has received many patients with carotid artery dissection caused by improper neck massage, and the public should pay attention to it.
Sudden discomfort after massage turned out to be acute cerebral infarction
Today, the reporter met Mr. Cao who was receiving treatment in the Neurology Department of Changsha Central Hospital. He usually has no major physical problems, a few days ago due to shoulder and neck discomfort, to a massage parlor to do a neck massage, just finished feeling that the shoulder and neck is indeed much easier. Two or three days later, Mr. Cao suddenly appeared to have weakness and unclear speech on his right side, and was urgently sent to the hospital by his family.
(Patient Mr. Cao did rehabilitation training under the guidance of a nurse.) Courtesy of the correspondent)
After a series of evaluations and examinations, the doctor diagnosed "acute cerebral infarction, left internal carotid artery thrombosis", which is a type of stroke. After the emergency department opened a green channel for intravenous thrombolysis, Mr. Cao's symptoms improved slightly, and the weakness and speech slurredness of the right limb improved significantly. However, after a few minutes, the condition suddenly worsened, and the right limb was completely paralyzed.
The interventional team of the hospital's neurology department carried out emergency total cerebral angiography and finally found the culprit of the patient's "stroke": the left internal carotid artery dissection. After a period of hospitalization, Mr. Cao gradually recovered and was able to walk under his support today.
Improper neck massage is easy to be recruited, and many cases are received every year
Stroke is more common in middle-aged and elderly people, and common risk factors include: hypertension, hyperlipidemia, smoking, diabetes, obesity, atrial fibrillation, etc.
"It is worth noting that in recent years, in young people under the age of 45, the proportion of ischemic stroke caused by carotid artery dissection has reached 8% to 25%." He Guohua, chief physician of the Department of Neurology, introduced that carotid artery dissection is simply the "cracking" of the lining of the carotid artery wall, causing blood to accumulate in the blood vessel wall. The formation of a hematoma on the blood vessel wall causes normal vascular narrowing, causing blood flow to the distal brain tissue to decrease or even disappear, and may lead to local thrombosis and detachment to the distal end, resulting in stroke.
(Mr. Cao's sudden carotid artery dissection.) Courtesy of the correspondent)
In addition to some congenital factors such as vascular fiber dysplasia diseases, Moyamoya disease, etc. that are easy to cause arterial dissection, normal carotid arteries can also tear the lining of the vascular wall under strong external force, causing carotid artery dissection. Commonly seen in neck massage, tuina, ice skating, badminton, tennis and other sports, roller coaster rides and other recreational activities, and even sudden turnback and other reasons may also cause carotid artery dissection.
He Guohua reminded that in recent years, more and more young and middle-aged people have come to the massage parlor to relax and decompress, and the hospital will receive a number of cases of carotid artery dissection patients caused by improper neck massage every year. Common manifestations are local pain, clinical symptoms are related to the blood vessel site affected by the lesion, which can cause limb weakness, crooked corners of the mouth, slurred speech, blackness or vision loss, heavy vision, etc., and can cause coma and even life-threatening in severe cases. Members of the public should seek medical attention in time when they have early symptoms, so as not to miss the best time for treatment.
[Editor-in-charge: Wu Daixia]
[Source: Sanxiang Metropolis Daily]