Carotid Artery Dissection, Neck Pain, and Horner’s Syndrome

/4,435 Comments/in , , /by


carotid artery dissection and neck pain and horner's syndromeThe majority of acute onset neck pain is due to muscle tension but in some cases left-sided neck pain, right-sided neck pain, or neck pain that presents with Horner’s syndrome are the result of carotid artery dissection or carotidynia. It appears that carotid artery dissection, whilst once thought fairly rare, is actually a risk for many people, young or old, active or inactive. Indeed, activities such as running, golf, and contact sports can all lead to acute trauma to the carotid artery and neck pain, and for some patients this can be fatal. In today’s blog post we take a look at a case of Horner’s syndrome as a result of carotid artery dissection.

Carotid Artery Dissection Leading to Horner’s Syndrome

This case of carotid artery dissection occurred in an active 25 year old woman after running 10km on a treadmill. Her first symptom was mild left-sided neck pain shortly after finishing her run. A few hours later the woman noticed her left pupil was constricted and her eyelid had begun to droop. She sought the help of an ophthalmologist who diagnosed Horner’s syndrome as a result of viral infection. The woman ran again the next day and noticed that the left half of her forehead did not sweat so, clearly concerned, she went to the hospital for further assessment.

Diagnosing Horner’s Syndrome

Diagnostic imaging found no abnormalities in her carotid arteries on ultrasound but a magnetic resonance angiogram did find a dissection of her extracranial internal carotid artery. As there was no evidence of blood clots at the time, the woman was treated with aspirin as an anticoagulant and the carotid artery dissection had repaired itself by the time of follow-up six months later. The Horner’s syndrome has, however, remained. The woman had no underlying condition predisposing her to carotid artery dissection and is an example of how fairly minor trauma to the neck can cause the condition, even in active young people.


What is Horner’s Syndrome

Horner’s syndrome was first described in 1869, by the Swiss ophthalmologist Johann Friedrich Horner and is a result of disease, trauma, or medical intervention (idiopathic). In Horner’s syndrome there is a loss of innervation of one side of the face or head by the sympathetic nervous system, leading to ptosis (drooping) of the upper and lower eyelids, pupil constriction, anhidrosis (loss of sweating), and enophthalmos (sunken eye). Children with Horner’s syndrome may end up with one eye being much lighter than the other due to a lack of melanin production resulting from the loss of sympathetic nervous system activity in that side of the face.

Causes of Horner’s Syndrome

Carotid artery dissection was not, until recently, considered a significant cause of the syndrome but this is now thought to have been the result of poor imaging ability in many cases, leading to under-diagnosis. MRA availability has helped increase the recognition of this important cause of Horner’s syndrome and many idiopathic cases have been retrospectively attributed to carotid artery dissection. Neck pain and Horner’s syndrome can also be signs of other problems, including compression from cervical ribs, cervical spine or neck tumors, syringomyelia, thyroid cancer or goitre, or even thyrocervical venous dilatation. Those with cervical spinal stenosis may be at increased risk of carotid artery dissection and Horner’s syndrome, and certain neck pain therapies, such as chiropractic adjustment, may not be suitable due to the potential for arterial trauma.

Treating Horner’s Syndrome and Neck Pain

Anyone experiencing symptoms of Horner’s syndrome should seek medical attention immediately, especially if there has been recent neck trauma or a ‘pop’ in the neck as this could suggest carotid artery dissection. Early treatment will usually help avoid significant complications but the effects of Horner’s syndrome may remain, as in the case above, long after the resolution of neck pain and carotid artery repair.

Read more about neck cracking and popping here.

Reference

D J M Macdonald and E C A McKillop, Carotid artery dissection after treadmill running, Br J Sports Med. 2006 April; 40(4): e10.

You might also like
Neck Pain - Is it a Heart Attack?
Stiff Neck Pain Treatment Using Muscle Relaxants
Treating Fibromyalgia-Related Neck Pain with SNRIs
Recovering from Whiplash - What Are Your Options?
Effective Fibromyalgia Treatment with Electrostimulation Device
What is Osteoarthritis and How Can You Reduce Spine Degeneration from this Common Cause of Neck Pain?
Can Statins Cause Neck Pain?
Bone Spurs in the Neck
4435 replies
  1. sawncar
    sawncar says:

    The main features provided by the tools are:
    Report creation support – support for the creation of actual reports. The content and layout of the report are determined.
    Template support – support for the creation of templates and allowing the report’s content to be predefined.
    Printable reports support – taking into account current job print capabilities, allows the capture of the content of a specific container.
    Editable reporting – provides extensive editing and reporting capabilities. The content can be edited and re-numbered or https://respeak.net/upload/files/2022/06/aCDWUY15qrH7xYXU2Q6U_06_1a0de9247691e4e6abc4a5b7d4e098a4_file.pdf
    50e0806aeb sawncar

    Reply
  2. carahav
    carahav says:

    The software delivers a substantial set of visualization and graph visualization features. These include the ability to make 3D- and 4D-like graphics, drawing, animation, shape and image processing, and designing and developing interactive 3D models and simulations. The software also offers a wide range of true- or pseudo-random number generator modules. Both real and imaginary parts of number can be generated on-the-fly using the built-in high-precision real and imaginary number generators as well as the native trig functions.

    The software development tools allow users to quickly build and run programs with ease and high efficiency. All versions https://spiruproject.site/wp-content/uploads/2022/06/yiesuld.pdf
    50e0806aeb carahav

    Reply
  3. bereles
    bereles says:

    This utility includes a logon screen editor to change the logon screen text, Background image, System background screensaver, Hotkeys, and a logon screen launcher to speed up the logon process.
    Another useful utility to change the logon screen of your system is the Easy Logon Driver.

    IncredidT5000 Logon Screen Free – The
    first iPhone webcam app for Windows, Mac and Linux.
    Record native iPhone webcam clips and easily upload to Facebook and your https://habubbd.com/mars-weather-report-crack-win-mac-latest/
    50e0806aeb bereles

    Reply
  4. gilbrye
    gilbrye says:

    Features
    Other noteworthy features are:

    Is installable in-app, requires no sign-up or registration;
    Highly customizable in any way you require;
    New and improved process type detection (protection against possible false positives);
    Much faster scanning;
    Visual Leak Detector will not encrypt any information, and all dumps will be sent to user email.

    See also
    List of memory leak checking tools

    References

    External links http://www.interprys.it/wp-content/uploads/2022/06/osmuley.pdf
    50e0806aeb gilbrye

    Reply
  7. AshMaR
    AshMaR says:

    [url=http://diclofenac.shop/]how to buy voltaren gel[/url] [url=http://erythromycin.cfd/]erythromycin brand[/url] [url=http://buybactrim.store/]how much is bactrim[/url] [url=http://tizanidine.store/]zanaflex 6 mg[/url] [url=http://robaxin.cfd/]robaxin brand name[/url]

    Reply
  8. AshMaR
    AshMaR says:

    [url=http://lisinopril247.com/]zestoretic 20 25mg[/url] [url=http://buyfluconazole.shop/]buy diflucan yeast infection[/url] [url=http://tizanidine.store/]tizanidine canadian pharmacy no prescription[/url] [url=http://permethrin.shop/]buy elimite cream over the counter[/url] [url=http://allopurinol.email/]allopurinol brand[/url] [url=http://buyxenical.shop/]orlistat capsules[/url] [url=http://sildenafiltabs.com/]viagra best brand[/url]

    Reply
  10. AshMaR
    AshMaR says:

    [url=https://buybactrim.store/]buy bactrim pills[/url] [url=https://amitriptyline.store/]endep[/url] [url=https://buyvardenafil.monster/]where to buy levitra[/url] [url=https://dapoxetine.shop/]dapoxetine 30 mg online purchase[/url] [url=https://avodart.shop/]avodart mexico[/url]

    Reply
  14. hamphil
    hamphil says:

    You can adjust LavaLamp including the speed, the number of primary colours, and the length of the animation.
    A tool for setting and configuration is included.

    Screenshots

    Freeware

    Screenshot

    Installation

    Download LavaLamp.bmp to your desktop. You can start putting it on your desktop after you downloaded it.

    If you would like to install LavaLamp with ARPACK, read on…

    Download https://thoitranghalo.com/wp-content/uploads/2022/06/QODBC_Driver_for_QuickBooks.pdf
    50e0806aeb hamphil

    Reply
  20. Sandy Zilla
    Sandy Zilla says:

    I absolutely love your blog and find nearly all of your post’s to be what precisely I’m looking for. can you offer guest writers to write content in your case? I wouldn’t mind creating a post or elaborating on a number of the subjects you write about here. Again, awesome weblog!|

    Reply
  30. Nicolasa Saltsman
    Nicolasa Saltsman says:

    you’re in point of fact a just right webmaster. The site loading speed is incredible. It sort of feels that you’re doing any unique trick. In addition, The contents are masterwork. you have done a magnificent job on this topic!|

    Reply
  34. Kathey Henifin
    Kathey Henifin says:

    Hi, i read your blog from time to time and i own a similar one and i was just curious if you get a lot of spam responses? If so how do you stop it, any plugin or anything you can suggest? I get so much lately it’s driving me mad so any assistance is very much appreciated.|

    Reply
  35. Laverne Dinnen
    Laverne Dinnen says:

    Hi there! I just wanted to ask if you ever have any problems with hackers? My last blog (wordpress) was hacked and I ended up losing several weeks of hard work due to no back up. Do you have any methods to stop hackers?|

    Reply
  38. tinyurl.com
    tinyurl.com says:

    Heya i’m for the primary time here. I found this board and I to
    find It really helpful & it helped me out a lot.
    I hope to provide something again and aid others like you
    helped me.

    Reply
  54. obsew
    obsew says:

    Hellomat: Flash Aladin1001 MisterXPlaymont: Tele Star, Video StarZacharia: 2xRoulette (36er)Tokengeräte: Cup Final Sindbad Wand Square Dance Mit Geldspielgeräten von Merkur, Novomatic Löwen, Crown, PSM Tech und Bally Wulff bietet CHZ alle gängigen Automaten für das richtige Casino-Flair an. Ein merkur datenbank ist ein merkur spiel, welches das erstellen von automatbildern erlaubt. Dadurch lassen sich viele kombinationen der bewegungsabläufe von den verschiedensten anwendungen auf einem bild festhalten und wiedergeben. Dieses datumbankformat wird zusammen mit dem WBV-Standard für die betriebssystemstandardisierte grafikübertragung (WBV = Windows Bitmap Format) verwendet.Eine merkur datenbank ist… Weiterführende, spannende Ads zu “merkur datenbank” Loewen Sammler-Geldspielautomaten & -Zubehör https://erickxnbq542197.dm-blog.com/11408603/lotto-ergebnisse-sonntag Datenschutzerklärung Also ich bin neu bei skateboard fahren und hab mir ein paar Videos angeguckt wo jeder irgendwas labert von mongo pusher. Meine frage ist wenn ich mein rechtes bein vorne am board habe und mit dem linken bein anschiebe, bin ich ein mongopusher? Bester Online Casino Bonus Eine der tragenden Säulen bei jeder Casino-Prüfung ist der Check der Sicherheit und Regulierung. „Normale“ Online Casinos müssen stets mit einer offiziellen Lizenz einer Regulierungsbehörde ausgestattet sein, damit sie ihr Portfolio zur Verfügung stellen dürfen. Für Luckygames gilt das allerdings nicht, denn in einem Bitcoin-Casino sind eine Abzocke oder ein Betrug ohnehin ausgeschlossen. Sämtliche Spiele des Anbieters sind Provably Fair und können somit ein Höchstmaß an Sicherheit gewährleisten. Das bedeutet zum Beispiel, dass sich jeder Spieler von den Ergebnissen einer Spielrunde ganz einfach selbst überzeugen kann. Einfach gesagt läuft hier also garantiert alles mit rechten Dingen ab.

    Reply
  81. Lucas Belieu
    Lucas Belieu says:

    I do accept as true with all the concepts you’ve presented in your post. They are very convincing and will certainly work. Nonetheless, the posts are very quick for newbies. May you please extend them a little from next time? Thank you for the post.|

    Reply
  88. Colby Laurel
    Colby Laurel says:

    I have been surfing online more than 3 hours lately, but I by no means found any fascinating article like yours. It’s pretty value sufficient for me. In my view, if all website owners and bloggers made good content material as you did, the internet will likely be much more useful than ever before.|

    Reply
  92. Mup
    Mup says:

    Yhteenvetona voimme siis sanoa, että rahapelit toimivat hyvin yksinkertaisesti ja käyttäjäystävällisesti näillä verkkopankkitunnistautumisen piirissä operoivilla casino-sivustoilla. Jos et ole vielä jostain syystä testannut tilivapaata operaattoria, nyt on oiva aika sille. Saat nimittäin usealta kasinosivulta mahtavat aloittavien asiakkaiden tarjoukset käyttöön, jotka kannattaa ehdottomasti hyödyntää. Varmaan jokaista lukijaa kiinnostaa myös se, minkälaisia kokemuksia meillä on netin viihdepeleistä. Voimme heti alkuun sanoa sen, että rahapelit ovat olleet jo yli vuosikymmenen osa meidän elämää. Kokemuksesta ei siis ole ainakaan ollenkaan puutetta. Tämän takia haluammekin ehdottomasti jakaa alan asiantuntijoiden tietoa sivumme vierailijoille. https://www.achd.de/community/profile/charlakim995865 Rahansiirtojen automatisointi on uusinta huutoa kasinomarkkinoilla ja tämän ominaisuuden omaavat sivustot ovat ehdotonta eliittiä. Sivuston maksuosaston ei siis tarvitse enää hyväksyä kyseisiä siirtoja, vaan kotiutuspyyntö pelaajalta riittää saamaan rahat pankkitilille. Poikkeuksia voi tosin tapahtua jos sivustojen järjestelmät havaitsevan jotain poikkeavaa kotiutuksessa ja tällöin kotiutus menee manuaaliseen tarkastukseen. Euteller tarjoaa suomenkielistä asiakastukea joka päivä. Euteller asiakaspalvelu toimii sivustolta löytyvän yhteydenottolomakkeen kautta, puhelinpalvelua ei ole ainakaan tällä hetkellä tarjolla. Voit ottaa heihin yhteyttä, jos sinulla on kysyttävää tai joitain ongelmia palveluun liittyen. Valitse ensiksi aihe, johon liittyen sinulla on kysyttävää, ja täytä lomake. Palvelun nopeuttamiseksi sinun kannattaa täyttää kaikki lomakkeen kohdat, esimerkiksi käytetty pankki, viitenumero ja niin edelleen. Täytettyäsi yhteydenottolomakkeen, asiakaspalvelu vastaa sinulle sähköpostilla. Sivuilta löytyy kuitenkin vastaukset useimpiin kysymyksiin, joten kannattaa tarkistaa, löydätkö vastauksen kysymykseesi sieltä.

    Reply
  99. Dub
    Dub says:

    I have experience of more than 5 years in the online gambling industry. As an editor, I dedicated myself to online casinos. I strive hard to analyze various online casinos and bonuses and identify the best ones for the players. I want to show how new players can get started easily and without prior knowledge. Regarding this context, you can find out which online casino bonuses and NZ casinos are worthwhile for novices as well as experienced players. I’ve seen the insides of many online casinos in recent years, I would like to invest my gambling knowledge in curating the best options available in the market. I believe in constructive criticism so readers can approach me anytime to provide feedback. Top casino websites offer free roulette practice games for beginners to test different strategies when playing online. Placing bets on your favourite number can be strategy, but it is not a recommended approach to playing roulette online. Go through our step-by-step guide on how to play roulette and win every time: https://www.susconsultancy.co.uk/community/profile/robbieberkman0/ A 20x wagering requirement means you must playthrough your requirements 20 times before you can withdraw any winnings.Case: 100% up to £100 with a wagering requirement of x20.Bonus money example: Deposit £50 and get £50 bonus money. The wagering requirement is the bonus money multiplied by 20 (£50 x 20 = £1000).Deposit amount + Bonus money example: Deposit £50 and get £50 bonus money. The wagering requirement is the deposit amount + bonus money multiplied by 20 (£50 + £50 x 20 = £2000). Reload bonus spins are simply a free spin offer provided to customers who have previously made deposits at an online casino. This is a method of thanking regular gamers and inciting them to continue to play at their casino site. The reload bonus spins fluctuate across casinos. Some casinos provide reload bonus spins after the second deposit, while others offer them after the third or fourth deposit.

    Reply
  103. riC
    riC says:

    Before reviewing an online casino for NZ players, we check for live dealer games. Despite the popularity of live dealer games, a few online casinos NZ do not offer them. We avoid such casinos. Instead, we focus on online casinos that offer live dealer games from multiple vendors such as NetEnt Live, Microgaming, Evolution Gaming, and Vivo Gaming. Most online casinos offer attractive promotions to attract new players and keep their existing audience coming back. As soon as you register at some online casinos, you will be awarded bonuses. Making a deposit qualifies you for even more bonuses. The more games you play, the higher your comp points, and this will result in more rewards and an increase in your bankroll. Playing at land-based casinos might not afford you this luxury. However, it is always important to read the casino’s terms and conditions to understand wagering requirements and other bonus restrictions. https://holymaryseeds.com/community/profile/mathiasharley29/ Online gambling is the most fraudulent online activity one can participate in, Bitcoin is grasping at used cocaine straws SAN FRANCISCO – Douglas Jae Woo Kim has been charged in a criminal complaint with wire fraud in connection with a multi-million dollar scheme to raise money for bogus cryptocurrency investments announced United States Attorney David L. Anderson and Federal Bureau of Investigation Special Agent in Charge John L. Bennett. Also, here are a few additional subreddits that you might like: I think you’re raising concern for nothing. By Christmas you’ll see a $5,000 Bitcoin. By 2020 you’re looking at a $50-100k per coin. While the value fluctuates whenever someone posts a concern (like the hardfork) whole countries are ramping up usage and creating departments of government that will focus on growth and implementation of the currency in today’s economic world. There is no need to sweat your Bitcoin as a loss. Even if another crypto takes the lead from Bitcoin say ethereum or Monero Bitcoin will still retain value.

    Reply
  110. bag
    bag says:

    The good news is that they do. Typically, if you find a casino with a top-quality welcome bonus that you like, you’ll be able to claim that same bonus if you use their mobile portal. Some casinos have been known to offer bespoke welcome bonuses for new players on the mobile site. The mobile approach makes it incredibly easy to play your favourite games no matter where you are. The top UK casino apps let you download games catalogues directly to your smartphone, allowing you to enter directly and start playing at any time. Among the best options, we can see that Ladbrokes casino app is one of the best online casinos in the UK with an app. Depending on the casino site you’re with, your mobile site can potentially be faster than desktop sites.There are a number of factors that come into play when deciphering whether or not your casino’s mobile site is faster than it’s desktop equivalent. Some of these factors include: Speed of your phone, speed of your internet connection, loading times of the mobile desktop site. https://meet-wiki.win/index.php/$200_no_deposit_bonus_200_free_spins_usa_2022 One of the main reasons for this growth is its willingness to adopt new technological advancements. Many industries remain wary of accepting these changes in fear that they will be detrimental to the future of their business. However, this isn’t the case with online gambling. Known for being the industry to take risks, online casinos and gambling sites constantly adopt new trends to meet the ever-changing demands of the market. Online gambling platforms offering players a variety of payment methods are appreciated for many reasons. The more payment alternatives a casino offers, the more secure the payment service is. To put it another way, this payment provider has determined that the online casino is in compliance with applicable laws. However, some developing online casinos lack sufficient payment alternatives since they are just starting out. Plus, gamers appreciate a wide range of payment methods since they may use any of them if one does not work.

    Reply
  115. Danny Strzelecki
    Danny Strzelecki says:

    I’m extremely impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you modify it yourself? Either way keep up the nice quality writing, it’s rare to see a nice blog like this one today.|

    Reply
  117. Gabrielle Hopping
    Gabrielle Hopping says:

    An outstanding share! I’ve just forwarded this onto a friend who was doing a little research on this. And he in fact ordered me lunch because I found it for him… lol. So allow me to reword this…. Thank YOU for the meal!! But yeah, thanx for spending some time to talk about this topic here on your internet site.|

    Reply
  118. Fabian Sawczyszyn
    Fabian Sawczyszyn says:

    Howdy just wanted to give you a brief heads up and let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different web browsers and both show the same outcome.|

    Reply
  140. tNen
    tNen says:

    Obecnie mieści się tam Kasyno Cristal. Wiadomości lokalne Jeśli oferta kasyn w Gdańsku nie spełnia Twoich oczekiwać odwiedź najstarsze w Polsce kasyno w Sopocie. Wybierz swoje ulubione kasyno w Gdańsku i zagraj w najlepsze gry hazardowe. Graj W Automaty Do Gier Za Darmo Gry Hazardowe online za darmo Kasyno 2020 Bonus Bez Depozytu – bonusy i promocje w kasynie online W przypadku rezerwacji dokonanych 6 kwietnia 2020 r. i później zalecamy rozważenie ryzyka wynikającego z obecności koronawirusa (COVID-19) oraz zachęcamy do zapoznania się z rozporządzeniami rządu. Jeśli nie wybierzesz opcji objętej elastycznymi zasadami, możesz nie być uprawniony do zwrotu pieniędzy. Twoja prośba o odwołanie rezerwacji będzie rozpatrywana przez zarząd obiektu na podstawie zasad dotyczących wybranej opcji i prawa konsumenckiego tam, gdzie ma ono zastosowanie. W niepewnych czasach zalecamy rezerwację opcji z bezpłatnym odwołaniem. Jeśli Twoje plany ulegną zmianie, możesz odwołać rezerwację bezpłatnie do momentu upłynięcia terminu bezpłatnego odwołania rezerwacji. https://perilpaneelerose.org/community/profile/elenamoats3985/ Użytkownicy tej szczególnej opcji płatności mają do dyspozycji 2-stopniową weryfikację, aby chronić swoje dane, a każda dokonywana transakcja jest silnie chroniona przed oszustwami dzięki w pełni gwarantowane szyfrowaniu o maksymalnym poziomie bezpieczeństwa. Kasyna online z Skrill mają także własne zabezpieczenia, które pomagają chronić przed oszustwami. Zazwyczaj większość kasyn jest licencjonowanych i regulowanych przez renomowane jurysdykcje. Jednocześnie płatność jest chroniona przed oszustwami dzięki potrójnej warstwie szyfrowania SSL i maksymalnemu bezpieczeństwu. Weź pod uwagę, że w niektórych kasynach Skrill jest metodą płatności, która uniemożliwia otrzymanie bonusu. Dlatego zanim dokonasz wpłaty warto dokładnie przeczytać wszystkie warunki premii. Trudno zgadnąć dlaczego Skrill został wykluczony i dlaczego nie można go użyć jeśli chcemy połączyć nasz depozyt z bounsem. Niemniej jednak musi to mieć swoją przyczynę. Sytuacja ta jest jednak dość wyjątkowa i nie wszystkie kasyna narażają graczy na takie… sankcje.

    Reply
  170. Christine
    Christine says:

    Please let me know if you’re looking for a author for your site.
    You have some really good posts and I think I would
    be a good asset. If you ever want to take some of the load off,
    I’d love to write some articles for your blog in exchange for a link back to mine.
    Please blast me an email if interested. Kudos!

    Reply
  189. kex
    kex says:

    Cabinet color change: Cabinets are another main focal point of the kitchen, so a color change can make all the difference. Some of the top color trends for kitchen cabinets right now include: darker stains, like deep walnut or modern ebony; all-white; two-toned, often with a darker color on the bottom cabinets and lighter color on the upper cabinets; soft blues and sages; grays; and black. It could cost around $5,000 to refinish your existing stained wood cabinets. Of course, the kitchen size and cabinet materials will have a bearing on that final price. Laura Fenton is the author of The Little Book of Living Small. She writes about home design and sustainability, and is a regular contributor to Apartment Therapy. Her work has been published in Better Homes & Gardens, Eater, New York Magazine, and Real Simple. https://wiki-spirit.win/index.php/Local_kitchen_remodel_companies Remodeling your kitchen will give you adequate, functional storage to keep things organized, and cleaning time will be cut in half. The layout will be better, and the work flow will completely change when everything is within reach. Plus, you will add tremendous value to your home. A kitchen remodel is a valuable investment for any homeowner. In addition to creating a beautiful & functional space for your family, an updated kitchen can offer a high return when you go to sell your home. But how much does a kitchen remodel cost, exactly? Storage space in the kitchen can seem like an afterthought until you think of all the rarely used foods, utensils, pots and pans, and appliances that need to be stored somewhere else when not in use. Consider implementing additional storage that might include extra built-in shelves or a new buffet with cabinets above it. Any way to maximize the amount of storage and counter space in the kitchen is key to keeping the kitchen along the lines of luxurious.

    Reply
  197. jab
    jab says:

    Are you searching for expert Moroccan rug cleaners in NY? Get in touch with us today and let us prove to you why we are the number one rug cleaner in the state. We only work with experienced IICRC-certified rug cleaners with a lot of expertise in assessing, cleaning,… We have seen some mixed reviews about steam cleaning a mattress though, and the main point of contention boils down to (get it?) moisture. An excess of moisture in any upholstered furniture item can lead to mold and mildew, which will only worsen any allergies that are being caused by a dirty mattress. It is important to be mindful of the amount of moisture that your mattress collects when you steam clean it, and also to allow your bed to dry completely before putting sheets back on it and sleeping on it. Ultimately though, as long as you let the bed properly dry, the benefits of steam cleaning your mattress really cannot be beat by any other cleaning method.  https://www.triphouserotterdam.nl/community/profile/bettefaulk5753 Our highly-trained staff is insured, licensed and bonded. All our cleaners are highly motivated to offer professional services. HEALTHIER. We use a low-water method which means there is less risk of mold and mildew growth under your carpet that can result from the excessive water used by most steam cleaners. We use green-certified cleaning solution that does not contain any harsh soaps or chemicals and is completely safe and non-toxic for your family and pets. Additionally, an independent air quality lab found that our HCE method removes 98% of non-living allergens in your carpets and upholstery*. That adds up to a safer carpet cleaning that is healthier for you, your family and your home. Best Eco-Friendly: Oxi-Fresh Carpet Cleaning Professional steam cleaning offers one of the best ways to thoroughly clean and sanitize these surfaces . . . read more

    Reply
  216. Edgar Lamm
    Edgar Lamm says:

    I needed to thank you for this fantastic read!! I certainly enjoyed every little bit of it. I’ve got you book-marked to look at new stuff you post…|

    Reply
  290. bit.ly
    bit.ly says:

    Simply desire to say your article is as surprising.
    The clearness to your submit is just spectacular and that i can think
    you are knowledgeable on this subject. Well along with your permission allow me to grasp your feed to stay
    updated with approaching post. Thanks one million and please continue the rewarding work.

    Reply
  306. Dan Yamashiro
    Dan Yamashiro says:

    Magnificent goods from you, man. I’ve remember your stuff previous to and you’re just too great. I actually like what you’ve acquired here, really like what you’re stating and the way wherein you assert it. You’re making it entertaining and you continue to take care of to keep it sensible. I can’t wait to learn much more from you. This is actually a great site.|

    Reply
  307. Anya Rockford
    Anya Rockford says:

    Today, I went to the beach front with my children. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is entirely off topic but I had to tell someone!|

    Reply
  309. Blair Greeson
    Blair Greeson says:

    I do trust all of the ideas you have offered for your post. They’re very convincing and will definitely work. Still, the posts are very brief for starters. May you please prolong them a bit from next time? Thanks for the post.|

    Reply
  330. Lyle Samia
    Lyle Samia says:

    Spot on with this write-up, I honestly believe that this website needs much more attention. I’ll probably be returning to see more, thanks for the advice!|

    Reply
  333. Nora Partido
    Nora Partido says:

    You are so awesome! I do not think I have read anything like this before. So wonderful to find another person with a few original thoughts on this topic. Seriously.. thanks for starting this up. This site is something that is required on the web, someone with a bit of originality!|

    Reply
  341. Kew
    Kew says:

    Die gute Nachricht vorneweg: In den besten Mobile Casinos finden Spieler nahezu das komplette Angebot der regulГ¤ren Casino Webseite vor – inklusive Live Spiele. Wir haben in unserem Test darauf geachtet, dies als QualitГ¤tskriterium heranzuziehen – die Kooperation der Handy Casinos mit modernen Spieleherstellern. Insbesondere bei Live Casino Spielen war die mobile Version nicht immer selbstverstГ¤ndlich – schlieГџlich benГ¶tigen diese Spiele mehr Hardware Ressourcen und eine bessere Datenverbindung fГјr den Live Video Stream. 888 Slots – Echtgeld Spiele ist jetzt auf Ihrem GerГ¤t installiert. GenieГџen! Die meisten Spiele, die die Casino Apps fГјr ihre Spieler bereitstellen, funktionieren einwandfrei via Android und iOS. Hier gibt es zwei MГ¶glichkeiten, auf das Spiel zuzugreifen. Zum einen kann eine native App von Google Play oder dem Apple Store heruntergeladen werden, zum anderen kann Гјber den Browser auch ganz ohne Download auf die Spiele zugegriffen werden. Wie bereits erwГ¤hnt, gibt es sogar einige Casino Apps, die nur noch native Apps anbieten. https://cutt.us/xAfgB Die BestГ¤tigungs-E-Mail wurde erneut versandt. Wer Book of Ra online spielen will, der setzt wahrscheinlich auf Bonusangebote und nicht zuletzt auf Freispiele, die gerade in Verbindung mit dem Novoline Klassiker regelmäßig verschenkt werden. Anders als in der lokalen Spielhalle wirst du im Online Casino Book of Ra Free Spins geschenkt bekommen – und auch das Spiel selbst offenbart dir immer wieder kostenlose Drehungen, dank denen die Gewinnchancen deutlich hГ¶her sind als in vielen anderen Slots. FГјr die alten Г„gypter war Ra der Sonnengott, das hieГџ nicht, dass er die Sonne erschaffen hat. Sondern Ra selbst war die Sonne. Er machte das Leben auf der Erde erst mГ¶glich. Daher passt es sehr gut, dass Book of Ra zum beliebtesten Automatenspiel der Welt geworden ist. Viele Spieler wГјrden Novoline ohne dieses Spiel wahrscheinlich gar nicht kennen und hГ¤tten sich nie fГјr das zocken an Spielautomaten interessiert.

    Reply
  353. Vance Rutigliano
    Vance Rutigliano says:

    Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You definitely know what youre talking about, why throw away your intelligence on just posting videos to your weblog when you could be giving us something enlightening to read?|

    Reply
  361. http://t.co/JthIipralX
    http://t.co/JthIipralX says:

    Hey there I am so delighted I found your weblog, I really
    found you by error, while I was browsing on Askjeeve for
    something else, Anyhow I am here now and would just like to say many thanks
    for a marvelous post and a all round enjoyable blog (I also love the theme/design), I don’t have time to read it all at
    the moment but I have saved it and also included your RSS feeds, so when I
    have time I will be back to read more, Please do keep up the excellent job.

    Reply
  366. Richie Burke
    Richie Burke says:

    I like the helpful info you provide in your articles. I will bookmark your blog and check again here frequently. I am quite certain I will learn plenty of new stuff right here! Best of luck for the next!|

    Reply
  368. http://tinyurl.com/
    http://tinyurl.com/ says:

    Hello! I know this is kinda off topic but I was wondering if
    you knew where I could locate a captcha plugin for my comment form?
    I’m using the same blog platform as yours and I’m having
    problems finding one? Thanks a lot!

    Reply
  382. Maryetta Deprey
    Maryetta Deprey says:

    I am now not sure where you are getting your information, however good topic. I needs to spend a while learning much more or figuring out more. Thank you for excellent info I was looking for this information for my mission.|

    Reply
  385. Eli Mccarey
    Eli Mccarey says:

    I’ve been browsing online more than 3 hours today, yet I never found any interesting article like yours. It is pretty worth enough for me. Personally, if all website owners and bloggers made good content as you did, the internet will be a lot more useful than ever before.|

    Reply
  387. Tonisha Salviejo
    Tonisha Salviejo says:

    I’m extremely impressed together with your writing talents and also with the layout in your blog. Is that this a paid subject or did you customize it your self? Either way keep up the excellent quality writing, it’s uncommon to see a nice blog like this one these days..|

    Reply
  390. Fredric Waldow
    Fredric Waldow says:

    Greetings! I know this is kinda off topic but I was wondering if you knew where I could locate a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having problems finding one? Thanks a lot!|

    Reply
  396. http://tinyurl.com/279dqwgn
    http://tinyurl.com/279dqwgn says:

    Excellent post. I used to be checking constantly this weblog and I’m inspired!
    Extremely useful information specially the ultimate part 🙂 I take care of such information a
    lot. I was seeking this particular info for a very lengthy time.
    Thanks and best of luck.

    Reply
  408. Candace Savageau
    Candace Savageau says:

    Great weblog right here! Also your website lots up very fast! What host are you the usage of? Can I am getting your associate hyperlink on your host? I want my web site loaded up as fast as yours lol|

    Reply
  420. Lisandra
    Lisandra says:

    Spot on with this write-up, I truly believe that this amazing site needs a great deal more attention. I’ll probably be back again to read through more, thanks for the info!|

    Reply
  439. tinyurl.com
    tinyurl.com says:

    I absolutely love your blog and find almost all of your post’s to be just what I’m looking for.
    can you offer guest writers to write content available for you?
    I wouldn’t mind composing a post or elaborating
    on some of the subjects you write in relation to here.
    Again, awesome website!

    Reply
  454. http://tinyurl.com/
    http://tinyurl.com/ says:

    After I originally left a comment I appear to have clicked
    the -Notify me when new comments are added- checkbox and from now on every time
    a comment is added I get 4 emails with the same comment.
    There has to be a way you can remove me from that service?
    Cheers!

    Reply
  461. Immomia
    Immomia says:

    Levitra 100mg buy cialis 20mg These include aplastic anemia which damages the bone marrow and its hematopoietic stem cells and various forms of leukemiacancers that affect white blood cells making them either multiply too fast or fail to do their jobs crowding out or destroying GENES AND FUTUR E DR EAMS PRESENT other normal cells.

    Reply