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理容院中風症候群所致之頭暈-罕見病例報告

Beauty Parlor Stroke Syndrome as the Cause of Dizziness: A Rare Case Report

Abstracts


「理容院中風症候群」和椎基底動脈循環不全有關,發生於洗頭時,頭在水槽上向後仰,引起頸部血管的傷害阻斷了腦血流,有可能會引起中風。「理容院中風症候群」是頭暈的可能原因之一,確定診斷是以病史為主,必須在神經耳科學檢查有異常的發現,但不須強調以影像學來證實有中樞神經病灶。一74歲男性,因每次於理容院洗頭後就會頭暈發作,動脈超音波證實椎動脈在頸部過度伸展時血流量會變小。在頭暈發作時,眼振電圖呈現異常。血管磁振造影顯示缺乏兩側後交通動脈,右側顱內椎動脈狹窄,確定是「理容院中風症候群」所致之頭暈。建議長期服用aspirin,於理容院洗頭時需於頸部墊一支撐,追蹤迄今3個月,頭暈並未復發。

Parallel abstracts


Beauty parlor syndrome, which is related with vertebral-basilar artery insufficiency, occurs when the neck is bent backwards over a sink during a shampoo, which may result in damage to the blood vessels in the neck and interrupt the blood flow to the brain, potentially causing a stroke. Dizziness can be caused by ”beauty parlor stroke syndrome,” which is confirmed by taking a detailed history and an objective oto-neurological finding, but not necessarily by an image study. A 74-year-old man complained that he was always bothered by dizziness after a beauty parlor shampoo. Duplex ultrasonogram showed that head hyperextension decreased the blood flow of the both vertebral arteries. When symptomatic, his electronystagmogram appeared abnormal. A magnetic resonance angiogram, however, showed an absence of bilateral posterior communicating arteries and stenosis of the right intracranial vertebral artery. These findings confirmed that his dizziness was caused by beauty parlor stroke syndrome. Aspirin was recommended for long-term use, and it was recommended that neck support be used when during a salon shampoos. On three-month follow-up, he was found to have not recurrence of dizziness.

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