Internal carotid artery dissection and stroke associated with wakeboarding

Fridley, Jared; Mackey, Jason; Hampton, Christopher; Duckworth, Edward; Bershad, Eric M.

doi:10.1016/j.jocn.2011.02.013

Cited by 9 publications

(9 citation statements)

References 8 publications

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“…Recognition of this medical emergency is essential and the literature on the subject is, at present, very poor. A comprehensive review of the literature showed that, so far, only isolated cases or small series have been publish ed 2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24 . Of all the sports potentially related to cerebrum-cervical arterial dissection, scuba diving 25 and martial arts 20,21,22 are those that are most often mentioned in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Soccer 2 , diving 3,4 , wakeboarding 5 , golf 6 , treadmill running 7 , horse riding 8 , snowboarding 9 , physical fitness testing 10 , triathlon 11 , heavy weight-lifting 12,13 , volleyball 14 , basketball 15 , skating 16 , gymnastics 17 , tennis 18 and martial arts 19,20,21,22 are examples of these cases found in the literature. Even virtual sports, practiced using the Wii device, have been correlated with arterial dissections of the neck 23 .…”

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confidence: 99%

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Cerebrum-cervical arterial dissection in adults during sports and recreation

Fragoso

Adoni

Amaral

et al. 2015

Arq. Neuro-Psiquiatr.

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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.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Cerebrum-cervical arterial dissection in adults during sports and recreation

Fragoso

Adoni

Amaral

et al. 2015

Arq. Neuro-Psiquiatr.

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“…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.…”

Section: Resultsmentioning

confidence: 99%

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

Schlemm

Nolte

Engelter

et al. 2017

European Stroke Journal

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Introduction: Cervical artery dissections may be preceded by mechanical trigger events, often related to sports. Methods: Using the MEDLINE database, we identified case reports and case series of sports-related cervical artery dissections. Information of the type of sport, age and gender of the patient, affected vessels, associated infarction, time delay, and neurological sequelae were extracted. Demographic and clinical characteristics were compared between sport groups using analysis of variance and Chi square tests. Differences were further assessed with adjusted post hoc tests and homogenous subsets. Results: A total of 115 reports describing 190 patients with cervical artery dissections related to 45 different sports were identified. The mean age of all patients was 35 years; 26% of all patients were women. Anterior and posterior circulation, as well as left and right side were affected with similar frequency. Patients belonging to different sport categories differed significantly with regard to age (p < 0.001), gender (p < 0.001), and affected circulation (anterior vs. posterior, p ¼ 0.02). The posterior circulation was most often affected in golf players (88%) and least often in individuals engaging in exercise (23%) and scuba divers (29%). Laterality (left vs. right) and mortality were similar between sport groups. Discussion: We performed a comprehensive review and analytical evaluation of case reports describing patients with cervical artery dissections after sport. Confirmation of our findings in prospective studies is needed. Conclusion: Cervical artery dissection has been described in relation to a wide variety of sports. The risk of injury to particular neurovascular structures may depend on the type sport involved. Discipline-specific incidence rates are not known.

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“…Traumatic dissection has been reported to occur after both minor and significant trauma; it has been reported in association with various sports, including a few reports linked with watersports such as wakeboarding, springboard diving, and scuba diving. [7][8][9][10][11] Various mechanisms of injury have been described, including direct, blunt, or penetrating trauma, abrupt neck movements, Valsalva maneuvers, and rapid ascent from deep immersion, among others. [12][13][14] We assume that there was a multifactorial mechanism involved in the patients presented in this report, involving abrupt and extreme neck movements and repeated Valsalva maneuvers.…”

Section: Discussionmentioning

confidence: 99%