Evidence map›Paper›PMID 40418893›Full record

ArticleJournal of neurosurgery. Case lessons2025

Vertebral artery dissection with cerebellar stroke after use of a percussive massage device: illustrative case.

Prasanth Romiyo, Taylor Furst, Derek D George, Nathaniel Ellens, Matthew T Bender, Mark R Harrigan

Abstract read
In one paragraph

Article in Journal of neurosurgery. Case lessons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Prasanth RomiyoDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, New York.
Taylor FurstDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, New York.ORCID 0000-0002-1588-5230
Derek D GeorgeDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, New York.ORCID 0000-0002-1298-4735
Nathaniel EllensDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, New York.ORCID 0000-0001-6901-1160
Matthew T BenderDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, New York.
Mark R HarriganThe University of Alabama at Birmingham, Alabama.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVertebral artery dissection is a rare condition often due to blunt cerebrovascular injury (BCVI). Electric massage devices have rarely been documented as an etiology of BCVI; however, their use has become widespread. The authors present an illustrative case and literature review of right vertebral artery BCVI and cerebellar infarct following the use of an antique electric massage device. OBSERVATIONS: A 65-year-old male presented with acute onset vertigo and nausea after using an antique electric massage device on his neck to relieve muscle tension. BCVI in the right vertebral artery was identified via CT angiography (CTA). MRI of the brain confirmed associated cerebellar infarction. Follow-up catheter cerebral angiography confirmed a right V3 segment intraluminal thrombus and V4 segment dissection. After inpatient observation, the patient was discharged on oral anticoagulation. At the 1-month follow-up, he reported no new symptoms, and CTA revealed resolution of the V3 thrombus and healing V4 dissection. LESSONS: The authors report the first case of MRI-proven stroke in association with vertebral artery BCVI after the use of an antique electric massage device. This case highlights the need for kinetic studies to assess the force distribution of percussive instruments in an effort to prevent injuries. https://thejns.org/doi/10.3171/CASE24812.

Indexed as

blunt cerebrovascular injurydissectionpercussive devicestrokevertebral artery

Identifiers

PMID40418893
PMCPMC12105589

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.