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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2023; 11(11): 2489-2495
Published online Apr 16, 2023. doi: 10.12998/wjcc.v11.i11.2489
Published online Apr 16, 2023. doi: 10.12998/wjcc.v11.i11.2489
Intracranial large artery embolism due to carotid thrombosis caused by a neck massager: A case report
Jie Pan, Xiao-Feng Cai, Shun-Yuan Guo, Department of Neurology, Zhejiang Provincial People's Hospital, Hangzhou 310014, Zhejiang Province, China
Jing-Wen Wang, Department of Neurology, Tiantai People's Hospital of Zhejiang Province, Taizhou 317200, Zhejiang Province, China
Ke-Feng Lu, Zhen-Zhen Wang, Department of Ultrasound Medicine, Zhejiang Provincial People’s Hospital, Hangzhou 310014, Zhejiang Province, China
Author contributions: Pan J and Wang JW contributed equally to this work; Pan J, Wang JW, Guo SY, and Cai XF discovered the case; Lu KF and Wang ZZ verified it through B-scan; Pan J and Wang JW analyzed the reason and wrote the manuscript; All authors have read and approved the final manuscript.
Supported by Zhejiang Traditional Chinese Medicine Science and Technology Program , No. 2023ZL259 .
Informed consent statement: Informed written consent was obtained from the patient to publish this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shun-Yuan Guo, MM, Chief Physician, Doctor, Teacher, Department of Neurology, Zhejiang Provincial People's Hospital, No. 158 Shangtang Road, Gongshu District, Hangzhou 310014, Zhejiang Province, China. gsy9316@126.com
Received: December 18, 2022
Peer-review started: December 18, 2022
First decision: January 20, 2023
Revised: February 2, 2023
Accepted: March 20, 2023
Article in press: March 20, 2023
Published online: April 16, 2023
Peer-review started: December 18, 2022
First decision: January 20, 2023
Revised: February 2, 2023
Accepted: March 20, 2023
Article in press: March 20, 2023
Published online: April 16, 2023
Core Tip
Core Tip: It has been reported that stroke caused by a neck massager is mainly related to arterial dissection due to the tearing of the inner vessel. Herein we report a rare case of intracranial large artery embolism due to carotid thrombosis caused by a neck massager. Combined with the analysis of the cases indexed in PubMed, only one case of a free thrombus in the carotid artery has been reported, although the etiology is unclear. We found that an intracranial large artery embolism was due to carotid thrombosis caused by a neck massager, which was treated effectively by antiplatelet therapy. In the future, it may be necessary to study further and propose stricter quality management standards for massagers.