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

9 Scopus citations


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
Issue number4
StatePublished - Apr 28 2015


  • Carotid
  • CrossFit
  • Dissection
  • Stroke

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Emergency Medicine

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