Cerebrum-cervical arterial dissection in adults during sports and recreation

Author:

Fragoso Yara Dadalti1,Adoni Tarso2,Amaral Lazaro Luiz Faria do3,Braga Flavio Tulio4,Brooks Joseph Bruno Bidin1,Campos Christiane Siqueira3,Comini-Frota Elizabeth Regina5,Ferreira Nelson Paes Fortes Diniz4,Giacon Luciano Marcus Tirotti6,Gomes Sidney7,Goncalves Marcus Vinicius Magno8,Magalhaes Pedro Silva Correa9,Matta Andre Palma da Cunha10,Oliveira Francisco Tomaz Meneses de3,Oliveira Joao Felipe de11,Pierucettti Marco Antonio6,Pereira Samira Luísa dos Apostolos12,Pontes Maciel Eduardo13,Siquineli Fabio11,Tauil Carlos Bernardo13,Troaini Guilherme Navarro1

Affiliation:

1. Universidade Metropolitana de Santos, Brazil

2. Hospital Sírio-Libanês de São Paulo, Brazil

3. Hospital Beneficência Portuguesa de São Paulo, Brazil

4. Hospital do Coracão, Brazil

5. Universidade Federal de Minas Gerais, Brazil

6. Hospital Paulistano, Brazil

7. Hospital Beneficência Portuguesa de São Paulo, Brazil; Hospital Paulistano, Brazil

8. Centro Hospitalar UNIMED, Brazil

9. Clinica Neurológica Joinville, Brazil

10. Universidade Federal Fluminense, Brazil

11. Universidade Regional de Blumenau, Brazil

12. Universidade de São Paulo, Brazil

13. Hospital de Base, Brazil

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.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

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