Cerebrum-cervical arterial dissection in adults during sports and recreation

Abstract

Dissection of cervical arteries constitutes a medical emergency. Although relatively rarely, activities classified as sports and recreation may be a cause of arterial dissection independently of neck or head trauma. The purpose of the present paper was to present a series of cases of cerebrum-cervical arterial dissection in individuals during or soon after the practice of these sports activities. Methods Retrospective data on patients with arterial dissection related to sports and recreation. Results Forty-one cases were identified. The most frequently affected vessel was the vertebral artery. A large variety of activities had a temporal relationship to arterial dissection, and jogging was the most frequent of these. This is the largest case series in the literature. Conclusion Arterial dissection may be a complication from practicing sports.

Cervical artery dissection after sports – An analytical evaluation of 190 published cases

“…Post hoc tests identified four homogenous subsets with regard to age: golf players were significantly older than participants of football, basketball, and combat sports; football players were also significantly younger than runners, tennis players, and people engaging in exercise/weight lifting and scuba diving (Figure 1(a)). The proportion of female patients also differed significantly 36 1 À Springboard diving 37 1 À Wakeboarding 38 1 À Waterskiing 39 1 À Surfing 40 1 À Kitesurfing 41 1 À Running/jogging 22 129 3 À Handball 74 1 À Hockey 78 1 À Paddle bal 40 1 À Bowling 84 1 À a Indicates which types of sports are included in between-group analyses (all groups with at least 10 cases). 'Yes': forming a main group, '(þ)': part of main group, 'À': not included in further analysis, '/': some of its constituents are included in between-group analyses.…”

Aneurisma Dissecante da Artéria Basilar

“…Na maioria dos casos, não há etiologia definida. No entanto, a dissecção arterial, quer seja de vasos cervicais ou de vasos intracranianos, pode ser decorrente de trauma, manipulação cirúrgica, defeitos congênitos da camada média do vaso, displasia fibromuscular, sífilis e arterite, podendo ocorrer durante esportes, pós-esforço extenuante e pós-relação sexual 5,11,12 . O tratamento, na maioria das vezes, é clínico com medicação, quer seja por anti-coagulação ou por antiplaquetários, embora alguns trabalhos sugiram que o tratamento endovascular tenha resultados mais favoráveis 5 .…”

“…O tratamento, na maioria das vezes, é clínico com medicação, quer seja por anti-coagulação ou por antiplaquetários, embora alguns trabalhos sugiram que o tratamento endovascular tenha resultados mais favoráveis 5 . Em casos de hemorragia subaracnoidea, com pseudoaneurisma e déficit neurológico com isquemia progressiva, tem sido realizado tratamento por via endovascular, com objetivo de preservação da artéria, através de diversores de fluxo que tem como vantagem possuir poros menores e maior cobertura metálica, porém, pode reduzir significantemente o fluxo das artérias perfurantes, aumentando o risco de complicações tromboembólicas 12 . Em nosso caso foi realizada angioplastia com stent da artéria basilar e embolização com molas do pseudoaneurisma 2,9,14 .…”

Traumatic cricket‐related fatalities in Australia: a historical review of media reports

“…I read with interest the article by Brukner and colleagues 1 on traumatic cricket‐related fatalities in Australia, which describes two autopsy‐confirmed deaths due to subarachnoid haemorrhage following vertebral artery dissection, with a further 11 deaths suspected to be secondary to this condition. Two recent articles described a total of 230 cases of carotid or vertebral artery dissection temporally related to 45 different sports or recreational activities 2 , 3 . The majority of episodes of arterial dissection were related to non‐contact sports, including jogging, walking, swimming, golf, basketball, tennis and scuba diving.…”