咳嗽诱发椎动脉夹层：病例报告和文献综述。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-10-10 DOI:10.1177/14782715241290309

A Khalid, A Summerbell, P Jha, A H Abdelhafiz

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引用次数: 0

摘要

自发性椎动脉夹层（VAD）常见于轻微颈部外伤或突然的颈部操作，可能导致中风。然而，剧烈咳嗽是较少被承认的椎动脉夹层病因。文献中仅报道了少数病例。我们回顾了相关文献，并报告了一例 62 岁男性患者的病例，他在一段时间的间歇性咳嗽后出现头痛和颈部疼痛，导致 VAD 和小脑缺血性中风。他对药物治疗反应良好，完全康复。因此，在对剧烈咳嗽后出现颈部疼痛和头痛的患者进行鉴别诊断时，应将 VAD 考虑在内。

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Cough-induced vertebral artery dissection: A case report and literature review.

Spontaneous vertebral artery dissection (VAD) is common after minor neck trauma or abrupt neck manipulation, which may result in stroke. However, violent cough is a less recognised cause of VAD. Only a few cases are reported in the literature. We review the literature and report a case of a 62-year-old man who presented with a headache and neck pain following a period of intermittent coughing, which led to VAD and a cerebellar ischaemic stroke. He responded well to medical treatment and made a full recovery. Therefore, VAD should be considered in the differential diagnosis for patients presenting with neck pain and headache after episodes of violent coughing.

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来源期刊

Journal of the Royal College of Physicians of Edinburgh MEDICINE, GENERAL & INTERNAL-

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.