[Ictus dopo una seduta dal parrucchiere.]

Area of Science:

• Neurology
• Vascular Medicine
• Medical Case Reports

Context:

• Cervical artery dissections (CAD) are an unusual cause of stroke, with prevalence increasing up to 20% in young adults.
• CAD is often associated with connective tissue disorders (e.g., Ehlers-Danlos, Marfan) and external risk factors.
• Known triggers include severe neck trauma, chiropractic manipulation, and prolonged neck hyperextension during dental or endoscopic procedures.

Purpose:

• To report an atypical case of cervical artery dissection.
• To emphasize the potential for iatrogenic or activity-related triggers for CAD.

Summary:

• A case of left internal carotid artery dissection is presented.
• The dissection was attributed to prolonged neck hyperextension during a routine hairdressing appointment.
• This highlights a novel and seemingly innocuous trigger for CAD.

Impact:

• Broadens the understanding of potential triggers for cervical artery dissection.
• Raises awareness among healthcare professionals and the public about less obvious risk factors for stroke.
• May inform future preventative strategies and patient counseling regarding activities involving neck manipulation.