CrossFit-related cervical internal carotid artery dissection

Albert Lu, Peter Y Shen, Paul Lee, Brian C Dahlin, Ben Waldau, Anna E. Nidecker, Anoop Nundkumar, Matthew Bobinski

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

CrossFit is a high-intensity strength and conditioning program that has gained popularity over the past decade. Potential injuries associated with CrossFit training have been suggested in past reports. We report three cases of cervical carotid dissection that are associated with CrossFit workouts. Patient 1 suffered a distal cervical internal carotid artery (ICA) dissection near the skull base and a small infarct in Wernicke’s area. He was placed on anticoagulation and on follow-up has near complete recovery. Patient 2 suffered a proximal cervical ICA dissection that led to arterial occlusion and recurrent middle cerebral artery territory infarcts and significant neurological sequelae. Patient 3 had a skull base ICA dissection that led to a partial Horner’s syndrome but no cerebral infarct. While direct causality cannot be proven, intense CrossFit workouts may have led to the ICA dissections in these patients.

Original languageEnglish (US)
Pages (from-to)449-452
Number of pages4
JournalEmergency Radiology
Volume22
Issue number4
DOIs
StatePublished - Apr 28 2015

Fingerprint

Internal Carotid Artery Dissection
Skull Base
Horner Syndrome
Middle Cerebral Artery Infarction
Causality
Dissection
Wounds and Injuries

Keywords

  • Carotid
  • CrossFit
  • Dissection
  • Stroke

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Emergency Medicine

Cite this

CrossFit-related cervical internal carotid artery dissection. / Lu, Albert; Shen, Peter Y; Lee, Paul; Dahlin, Brian C; Waldau, Ben; Nidecker, Anna E.; Nundkumar, Anoop; Bobinski, Matthew.

In: Emergency Radiology, Vol. 22, No. 4, 28.04.2015, p. 449-452.

Research output: Contribution to journalArticle

Lu, Albert ; Shen, Peter Y ; Lee, Paul ; Dahlin, Brian C ; Waldau, Ben ; Nidecker, Anna E. ; Nundkumar, Anoop ; Bobinski, Matthew. / CrossFit-related cervical internal carotid artery dissection. In: Emergency Radiology. 2015 ; Vol. 22, No. 4. pp. 449-452.
@article{c5169923a0ba4b42bdd6f594beaf97f5,
title = "CrossFit-related cervical internal carotid artery dissection",
abstract = "CrossFit is a high-intensity strength and conditioning program that has gained popularity over the past decade. Potential injuries associated with CrossFit training have been suggested in past reports. We report three cases of cervical carotid dissection that are associated with CrossFit workouts. Patient 1 suffered a distal cervical internal carotid artery (ICA) dissection near the skull base and a small infarct in Wernicke’s area. He was placed on anticoagulation and on follow-up has near complete recovery. Patient 2 suffered a proximal cervical ICA dissection that led to arterial occlusion and recurrent middle cerebral artery territory infarcts and significant neurological sequelae. Patient 3 had a skull base ICA dissection that led to a partial Horner’s syndrome but no cerebral infarct. While direct causality cannot be proven, intense CrossFit workouts may have led to the ICA dissections in these patients.",
keywords = "Carotid, CrossFit, Dissection, Stroke",
author = "Albert Lu and Shen, {Peter Y} and Paul Lee and Dahlin, {Brian C} and Ben Waldau and Nidecker, {Anna E.} and Anoop Nundkumar and Matthew Bobinski",
year = "2015",
month = "4",
day = "28",
doi = "10.1007/s10140-015-1318-5",
language = "English (US)",
volume = "22",
pages = "449--452",
journal = "Emergency Radiology",
issn = "1070-3004",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - CrossFit-related cervical internal carotid artery dissection

AU - Lu, Albert

AU - Shen, Peter Y

AU - Lee, Paul

AU - Dahlin, Brian C

AU - Waldau, Ben

AU - Nidecker, Anna E.

AU - Nundkumar, Anoop

AU - Bobinski, Matthew

PY - 2015/4/28

Y1 - 2015/4/28

N2 - CrossFit is a high-intensity strength and conditioning program that has gained popularity over the past decade. Potential injuries associated with CrossFit training have been suggested in past reports. We report three cases of cervical carotid dissection that are associated with CrossFit workouts. Patient 1 suffered a distal cervical internal carotid artery (ICA) dissection near the skull base and a small infarct in Wernicke’s area. He was placed on anticoagulation and on follow-up has near complete recovery. Patient 2 suffered a proximal cervical ICA dissection that led to arterial occlusion and recurrent middle cerebral artery territory infarcts and significant neurological sequelae. Patient 3 had a skull base ICA dissection that led to a partial Horner’s syndrome but no cerebral infarct. While direct causality cannot be proven, intense CrossFit workouts may have led to the ICA dissections in these patients.

AB - CrossFit is a high-intensity strength and conditioning program that has gained popularity over the past decade. Potential injuries associated with CrossFit training have been suggested in past reports. We report three cases of cervical carotid dissection that are associated with CrossFit workouts. Patient 1 suffered a distal cervical internal carotid artery (ICA) dissection near the skull base and a small infarct in Wernicke’s area. He was placed on anticoagulation and on follow-up has near complete recovery. Patient 2 suffered a proximal cervical ICA dissection that led to arterial occlusion and recurrent middle cerebral artery territory infarcts and significant neurological sequelae. Patient 3 had a skull base ICA dissection that led to a partial Horner’s syndrome but no cerebral infarct. While direct causality cannot be proven, intense CrossFit workouts may have led to the ICA dissections in these patients.

KW - Carotid

KW - CrossFit

KW - Dissection

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=84937812530&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937812530&partnerID=8YFLogxK

U2 - 10.1007/s10140-015-1318-5

DO - 10.1007/s10140-015-1318-5

M3 - Article

VL - 22

SP - 449

EP - 452

JO - Emergency Radiology

JF - Emergency Radiology

SN - 1070-3004

IS - 4

ER -