{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:29:43Z","timestamp":1770114583644,"version":"3.49.0"},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"21","license":[{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,5,26]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Vertebral 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24812\">https:\/\/thejns.org\/doi\/10.3171\/CASE24812<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24812","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T20:17:38Z","timestamp":1748290658000},"source":"Crossref","is-referenced-by-count":0,"title":["Vertebral artery dissection with cerebellar stroke after use of a percussive massage device: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Prasanth","family":"Romiyo","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1588-5230","authenticated-orcid":true,"given":"Taylor","family":"Furst","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1298-4735","authenticated-orcid":true,"given":"Derek D.","family":"George","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6901-1160","authenticated-orcid":true,"given":"Nathaniel","family":"Ellens","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew T.","family":"Bender","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark R.","family":"Harrigan","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"suppl 5","key":"bib1","series-title":"Surg Neurol Int","first-page":"S362","article-title":"Vertebral artery injuries in cervical spine surgery","volume":"4","author":"Schroeder","year":"2013","unstructured":"Schroeder GDHsu WK.Vertebral artery injuries in cervical spine surgery. Surg Neurol Int. 2013;4(suppl 5):S362-S367."},{"issue":"1","key":"bib2","series-title":"Glob Spine J","first-page":"21S","article-title":"Epidemiology and outcomes of vertebral artery injury in 16 582 cervical spine surgery patients: an AOSpine North America multicenter study","volume":"7","author":"Hsu","year":"2017","unstructured":"Hsu WKKannan AMai HTEpidemiology and outcomes of vertebral artery injury in 16 582 cervical spine surgery patients: an AOSpine North America multicenter study. Glob Spine J. 2017;7(1suppl):21S-27S."},{"issue":"1","key":"bib3","series-title":"Korean J Neurotrauma","first-page":"34","article-title":"Epidemiology and management of iatrogenic vertebral artery injury associated with cervical spine surgery","volume":"18","author":"Yi","year":"2022","unstructured":"Yi HJ.Epidemiology and management of iatrogenic vertebral artery injury associated with cervical spine surgery. Korean J Neurotrauma. 2022;18(1):34-44."},{"issue":"6","key":"bib4","series-title":"Acta Neurol Scand","first-page":"349","article-title":"Iatrogenic vertebral artery injury","volume":"112","author":"Inamasu","year":"2005","unstructured":"Inamasu JGuiot BH.Iatrogenic vertebral artery injury. Acta Neurol Scand. 2005;112(6):349-357."},{"issue":"2","key":"bib5","series-title":"Int J Environ Res Public Health","first-page":"1073","article-title":"Acute effects of percussive massage therapy on thoracolumbar fascia thickness and ultrasound echo intensity in healthy male individuals: a randomized controlled trial","volume":"20","author":"Yang","year":"2023","unstructured":"Yang CHuang XLi YSucharit WSirasaporn PEungpinichpong W.Acute effects of percussive massage therapy on thoracolumbar fascia thickness and ultrasound echo intensity in healthy male individuals: a randomized controlled trial. Int J Environ Res Public Health. 2023;20(2):1073."},{"issue":"2","key":"bib6","series-title":"Int J Sports Phys Ther","first-page":"309","article-title":"The effect of percussive therapy on musculoskeletal performance and experiences of pain: a systematic literature review","volume":"18","author":"Sams","year":"2023","unstructured":"Sams LLangdown BLSimons JVseteckova J.The effect of percussive therapy on musculoskeletal performance and experiences of pain: a systematic literature review. Int J Sports Phys Ther. 2023;18(2):309-327."},{"issue":"3","key":"bib7","series-title":"J Athl Train","first-page":"310","article-title":"Under the gun: percussive massage therapy and physical and perceptual recovery in active adults","volume":"59","author":"Leabeater","year":"2024","unstructured":"Leabeater AJClarke ACJames LHuynh MDriller M.Under the gun: percussive massage therapy and physical and perceptual recovery in active adults. J Athl Train. 2024;59(3):310-316."},{"key":"bib8","article-title":"Vibrator device","author":"Wahl","year":"1934","unstructured":"Wahl LJVibrator device. US patent 2054590A. January 4, 1934."},{"issue":"2","key":"bib9","series-title":"Clin Pract Cases Emerg Med","first-page":"159","article-title":"Case report: vertebral artery dissection after use of handheld massage gun","volume":"6","author":"Sulkowski","year":"2022","unstructured":"Sulkowski KGrant GBrodie T.Case report: vertebral artery dissection after use of handheld massage gun. Clin Pract Cases Emerg Med. 2022;6(2):159-161."},{"issue":"1","key":"bib10","series-title":"Cureus","first-page":"e33394","article-title":"Home self-massage device necessitates public awareness: vertebral artery dissection associated with a home massage device","volume":"15","author":"Shariff","year":"2023","unstructured":"Shariff EAl Ghannam ZTAlDamigh FAHome self-massage device necessitates public awareness: vertebral artery dissection associated with a home massage device. Cureus. 2023;15(1):e33394."},{"issue":"1","key":"bib11","series-title":"Phys Ther","first-page":"pzaa199","article-title":"Rhabdomyolysis after the use of percussion massage gun: a case report","volume":"101","author":"Chen","year":"2021","unstructured":"Chen JZhang FChen HPan H.Rhabdomyolysis after the use of percussion massage gun: a case report. 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Med (Baltim). 2022;101(49):e31825."},{"issue":"4","key":"bib14","series-title":"J Man Manip Ther","first-page":"261","article-title":"Vertebral arteries do not experience tensile force during manual cervical spine manipulation applied to human cadavers","volume":"31","author":"Gorrell","year":"2023","unstructured":"Gorrell LMSawatsky AEdwards WBHerzog W.Vertebral arteries do not experience tensile force during manual cervical spine manipulation applied to human cadavers. J Man Manip Ther. 2023;31(4):261-269."},{"issue":"7","key":"bib15","series-title":"Eur Spine J","first-page":"2193","article-title":"Cervical spine injuries, mechanisms, stability and AIS scores from vertical loading applied to military environments","volume":"25","author":"Yoganandan","year":"2016","unstructured":"Yoganandan NPintar FAHumm JRMaiman DJVoo LMerkle A.Cervical spine injuries, mechanisms, stability and AIS scores from vertical loading applied to military environments. 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Surg Neurol Int. 2013;4(suppl 5):S362-S367."},{"issue":"1","key":"bib2","series-title":"Glob Spine J","first-page":"21S","article-title":"Epidemiology and outcomes of vertebral artery injury in 16 582 cervical spine surgery patients: an AOSpine North America multicenter study","volume":"7","author":"Hsu","year":"2017","unstructured":"Hsu WKKannan AMai HTEpidemiology and outcomes of vertebral artery injury in 16 582 cervical spine surgery patients: an AOSpine North America multicenter study. Glob Spine J. 2017;7(1suppl):21S-27S."},{"issue":"1","key":"bib3","series-title":"Korean J Neurotrauma","first-page":"34","article-title":"Epidemiology and management of iatrogenic vertebral artery injury associated with cervical spine surgery","volume":"18","author":"Yi","year":"2022","unstructured":"Yi HJ.Epidemiology and management of iatrogenic vertebral artery injury associated with cervical spine surgery. Korean J Neurotrauma. 2022;18(1):34-44."},{"issue":"6","key":"bib4","series-title":"Acta Neurol Scand","first-page":"349","article-title":"Iatrogenic vertebral artery injury","volume":"112","author":"Inamasu","year":"2005","unstructured":"Inamasu JGuiot BH.Iatrogenic vertebral artery injury. Acta Neurol Scand. 2005;112(6):349-357."},{"issue":"2","key":"bib5","series-title":"Int J Environ Res Public Health","first-page":"1073","article-title":"Acute effects of percussive massage therapy on thoracolumbar fascia thickness and ultrasound echo intensity in healthy male individuals: a randomized controlled trial","volume":"20","author":"Yang","year":"2023","unstructured":"Yang CHuang XLi YSucharit WSirasaporn PEungpinichpong W.Acute effects of percussive massage therapy on thoracolumbar fascia thickness and ultrasound echo intensity in healthy male individuals: a randomized controlled trial. Int J Environ Res Public Health. 2023;20(2):1073."},{"issue":"2","key":"bib6","series-title":"Int J Sports Phys Ther","first-page":"309","article-title":"The effect of percussive therapy on musculoskeletal performance and experiences of pain: a systematic literature review","volume":"18","author":"Sams","year":"2023","unstructured":"Sams LLangdown BLSimons JVseteckova J.The effect of percussive therapy on musculoskeletal performance and experiences of pain: a systematic literature review. Int J Sports Phys Ther. 2023;18(2):309-327."},{"issue":"3","key":"bib7","series-title":"J Athl Train","first-page":"310","article-title":"Under the gun: percussive massage therapy and physical and perceptual recovery in active adults","volume":"59","author":"Leabeater","year":"2024","unstructured":"Leabeater AJClarke ACJames LHuynh MDriller M.Under the gun: percussive massage therapy and physical and perceptual recovery in active adults. J Athl Train. 2024;59(3):310-316."},{"key":"bib8","article-title":"Vibrator device","author":"Wahl","year":"1934","unstructured":"Wahl LJVibrator device. US patent 2054590A. January 4, 1934."},{"issue":"2","key":"bib9","series-title":"Clin Pract Cases Emerg Med","first-page":"159","article-title":"Case report: vertebral artery dissection after use of handheld massage gun","volume":"6","author":"Sulkowski","year":"2022","unstructured":"Sulkowski KGrant GBrodie T.Case report: vertebral artery dissection after use of handheld massage gun. Clin Pract Cases Emerg Med. 2022;6(2):159-161."},{"issue":"1","key":"bib10","series-title":"Cureus","first-page":"e33394","article-title":"Home self-massage device necessitates public awareness: vertebral artery dissection associated with a home massage device","volume":"15","author":"Shariff","year":"2023","unstructured":"Shariff EAl Ghannam ZTAlDamigh FAHome self-massage device necessitates public awareness: vertebral artery dissection associated with a home massage device. Cureus. 2023;15(1):e33394."},{"issue":"1","key":"bib11","series-title":"Phys Ther","first-page":"pzaa199","article-title":"Rhabdomyolysis after the use of percussion massage gun: a case report","volume":"101","author":"Chen","year":"2021","unstructured":"Chen JZhang FChen HPan H.Rhabdomyolysis after the use of percussion massage gun: a case report. Phys Ther. 2021;101(1):pzaa199."},{"key":"bib12","series-title":"Am J Respir Crit Care Med","article-title":"Hemothorax after use of percussion massage gun: a case report","author":"Masters","year":"2022","unstructured":"Masters AChiang B, Sarvottam K, Patel K. Hemothorax after use of percussion massage gun: a case report. Am J Respir Crit Care Med; 2022."},{"issue":"49","key":"bib13","series-title":"Med (Baltim)","first-page":"e31825","article-title":"Lens subluxation after use of a percussion massage gun: a case report","volume":"101","author":"Mu","year":"2022","unstructured":"Mu JFan W.Lens subluxation after use of a percussion massage gun: a case report. Med (Baltim). 2022;101(49):e31825."},{"issue":"4","key":"bib14","series-title":"J Man Manip Ther","first-page":"261","article-title":"Vertebral arteries do not experience tensile force during manual cervical spine manipulation applied to human cadavers","volume":"31","author":"Gorrell","year":"2023","unstructured":"Gorrell LMSawatsky AEdwards WBHerzog W.Vertebral arteries do not experience tensile force during manual cervical spine manipulation applied to human cadavers. J Man Manip Ther. 2023;31(4):261-269."},{"issue":"7","key":"bib15","series-title":"Eur Spine J","first-page":"2193","article-title":"Cervical spine injuries, mechanisms, stability and AIS scores from vertical loading applied to military environments","volume":"25","author":"Yoganandan","year":"2016","unstructured":"Yoganandan NPintar FAHumm JRMaiman DJVoo LMerkle A.Cervical spine injuries, mechanisms, stability and AIS scores from vertical loading applied to military environments. Eur Spine J. 2016;25(7):2193-2201."},{"issue":"4","key":"bib16","series-title":"Traffic Inj Prev","first-page":"389","article-title":"Cervical spine loads and intervertebral motions during whiplash","volume":"7","author":"Ivancic","year":"2006","unstructured":"Ivancic PCPanjabi MMIto S.Cervical spine loads and intervertebral motions during whiplash. 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