Spontaneous Bilateral Vertebral Artery Dissection During a Basketball Game

Rodríguez, María Candelaria Gil; Berrios, Rafael Arias; Ramos, Edwardo

doi:10.1177/1941738114547347

Cited by 11 publications

(2 citation statements)

References 34 publications

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“…According to Rodriguez et al, there is a prevalence of VAD in certain high-intensity sports that include but are not limited to mixed martial arts, kickboxing, rugby, weightlifting, and gymnastics [ 5 ]. A CrossFit workout consists of constantly varied functional movements performed at high intensity that are designed to improve fitness and health.…”

Section: Discussionmentioning

confidence: 99%

A Workout to Remember: CrossFit-Induced Vertebral Artery Dissection

Buckley¹,

Ken²,

Grotticelli³

et al. 2023

Cureus

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Vertebral artery dissection (VAD) is a cause of brain stem stroke in the younger population and is commonly associated with trauma, sudden neck movement, or chiropractic manipulations. In this case, a 28-year-old male with a non-significant past medical history who recently started a CrossFit boot camp presented to the emergency department with right-sided neck pain, dysarthria, mild right gaze paresis, right dysmetria, and right facial droop with symptoms of Horner’s syndrome. Imaging results revealed an age-indeterminate left lateral cerebellar infarct with right VAD. The goal of management is to prevent stroke, which is done with anticoagulation and potentially thrombolytic therapy if there are no contraindications. The patient received thrombolytic therapy and was treated with conservative management. The prognosis is good for patients who survive the initial dissection and are treated in this manner. It is important to obtain a thorough history of young and healthy patients who present with concerning neurologic symptoms so that precipitating activities are not missed.

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Section: Discussionmentioning

confidence: 99%

A Workout to Remember: CrossFit-Induced Vertebral Artery Dissection

Buckley¹,

Ken²,

Grotticelli³

et al. 2023

Cureus

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“…Many factors have been suggested as possible triggers for cervical arterial dissections (CAD), although the majority develop spontaneously or due to minor trauma. These triggers include recent infections [4], sports activities and minor sports injuries [5–8], roller coaster rides [9], coughing or sneezing [10], and chiropractic neck manipulation [11].…”

Section: Discussionmentioning

confidence: 99%

Arteriopathy of Unknown Etiology: Pathologic, Radiologic, and Cytogenetic Investigations

et al. 2019

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Patient: Male, 38Final Diagnosis: Arteriopathy of unknown etiologySymptoms: Left groin painMedication: —Clinical Procedure: —Specialty: NeurologyObjective:Unknown ethiologyBackground:Dissections occur when the intima is injured and an intramural hematoma develops between the intima and the media. There are a multitude of factors which contribute to arterial aneurysms and dissections, that could be infectious, genetic, traumatic, or environmental, but there are still cases for which the etiology is not determined.Case Report:We describe a patient who presented with arterial aneurysms and dissections that involved multiple vessels over the course of 10 years. We also reviewed the literature on possible risk factors, triggers, and genetic disorders that may predispose patients to developing arterial aneurysms and dissections.Conclusions:To the best of our knowledge, this is the first report of this unusual pattern of presentation for idiopathic vasculopathy causing multiple dissections and aneurysms in a young patient. Idiopathic vasculopathy resulting in aneurysm and dissection is not an entirely uncommon entity; most cases of disparate dissection are not linked with a causal mechanism, although genetic influence is often heavily suspected, but it unfortunately often cannot be proven. We reviewed the available literature for a better understanding of pathologic, radiologic, and cytogenetic investigations of arteriopathy of unknown cause.

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