Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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Carotidynia presenting with acute ischemic stroke after carotid sinus massage

  • Kwak, Hyo Sung (Department of Radiology, Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Chung, Gyung Ho (Department of Radiology, Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Lee, Chan-Hyuk (Department of Neurology Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Jeong, Seul-Ki (Department of Neurology Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Ryu, Han Uk (Department of Neurology Chonbuk National University Hospital, Chonbuk National University Medical School)
  • Received : 2016.07.09
  • Accepted : 2016.09.05
  • Published : 2017.01.31
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Abstract

Carotidynia is characterized by unilateral neck pain around the carotid artery. We describe a 50-year-old woman who presented with transient left-side weakness and right-side neck pain. She frequently massaged the uncomfortable neck area during the symptomatic course of the condition. Magnetic resonance imaging revealed multifocal cerebral infarctions and a carotid intramural thrombus ipsilateral to the carotidynia.Long-term carotidynia might result in the involvement of an intramural thrombus and intimal disruption, and ischemic stroke after carotidynia may be provoked by carotid sinus massage.

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References

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