Diudiu pain in the brain, cerebral blood vessel dissection may cause stroke

The "diudiu" throbbing pain in the brain may be caused by intimal dissection of blood vessels. If treatment is delayed or improper massage is performed, it may easily lead to ischemic stroke. A 50-year-old woman surnamed Lin in Taichung suddenly experienced severe blood vessel throbbing pain in the left occipital area. She was almost "on the verge of losing consciousness." She took painkillers and massage therapy to no avail. After diagnosis, she was found to be suffering from a rare " "Vertebral artery intimal dissection." Fortunately, the masseur did not help her twist her neck at the time, and she immediately sought medical treatment to receive appropriate treatment, thus avoiding possible stroke and fatal risks. A woman in Taichung suffered from a rare "vertebral artery intimal dissection", which caused severe throbbing pain in the blood vessels in her brain and almost lost consciousness. The person in the picture is not the protagonist of the event.

The woman's cerebral vascular throbbing pain was actually vertebral artery intimal dissection

The patient had habitual mild migraine symptoms before menstruation. She always took medicine and was fine, but At the end of last year, when I was rushing to repair my daughter's car, I suddenly felt an unprecedented throbbing pain in the blood vessels in the left occipital area. For three days, the pain was so painful that my head was about to explode. She described the pain as being like a ball squeezing and contracting, and she was "about to lose consciousness." As long as she lowered her head slightly or shook her head left and right, a tendon would become very tight and uncomfortable. Even painkillers and masseurs would not be able to use it. There is no way to improve it.

Chen Yingzhu, a neurologist at Taichung Tzu Chi Hospital who treated the woman surnamed Lin, said that the patient’s pain was located on the left side of the back of the head and the top of the neck, and he would have sudden headaches after being emotionally agitated. , the pain will be more when the head is turned, and it is better to stay still. Since the emergency computer tomography and neurology showed no abnormalities, I had to further do magnetic resonance imaging and angiography.

After further examination of the magnetic resonance imaging and angiography images, the doctor found that the patient's left cervical vertebral artery had a significant lumen stenosis, and diagnosed it as left vertebral artery intimal dissection. The possible cause was investigated. The woman surnamed Lin's blood vessel walls are inherently more fragile than ordinary people. She twisted her neck too much when she was emotional, which caused the intima of her blood vessels to tear and hurt. From the brain artery computed tomography, it was found that the right vertebral artery of the woman surnamed Lin was bleeding due to intimal dissection, resulting in lumen stenosis, which was in obvious contrast with the normal left vertebral artery. (Photo provided/Taichung Tzu Chi Hospital)

Improper massage of cerebral artery intimal dissection may lead to stroke

Foreign statistics show that the annual incidence of cerebral artery intimal dissection is only about 10% One in ten thousand, it is rare, and most patients are not very old.

Dr. Chen Ying said that some cases of vertebral artery intimal dissection are caused by massage injuries, head trauma, or unknown causes. For example, the woman surnamed Lin went to massage because she had a headache, which may make the intima peel more serious. Once the blood clot generated after the intima peel increases and blocks the inner diameter of the blood vessel, it will cause ischemic stroke; the blood clot may also explode outside the blood vessel. layer, forming subarachnoid hemorrhage, which can be fatal in severe cases.

Doctors remind people that when the head and neck are injured, they should avoid improper neck massage, and if the headache is accompanied by throbbing blood vessels, they should seek medical treatment as soon as possible to confirm whether it is a blood vessel injury and receive appropriate treatment as soon as possible.