Advertisement

Acta Neurologica Belgica

, Volume 118, Issue 4, pp 549–552 | Cite as

Vertebral artery dissection and golf swing: a paradigmatic new case

  • Carlo CivardiEmail author
  • Alessandra Collini
  • Egidio Genovese
  • Cinzia Lucchini
  • Maurizio Maggio
  • Claudio Geda
Letter to the Editor
  • 92 Downloads

Introduction

Vertebral artery dissection (VAD) caused by swinging a golf club is extremely rare, and only a few cases of dissection have been reported [1, 2, 3, 4]. Sudden head rotation in swinging a golf club is considered to cause excessive stretch and twist of the vertebral artery (VA) [3]. VAD is also caused by other mild trauma such as chiropractic neck manipulation [5]. As well as describing a new case, we also analyzed the recent literature to find some typical features of this rare event.

Case

A 27-year-old right handed Caucasian male professional golfer, after a long training session swung a driver with nearly maximum force. He suddenly felt intense pain in the right side of his neck that spread to the occipital area. The next day he felt dizzy and unstable in standing and promptly sought help from local hospital. Neurologic examination and brain CT-scan were normal. Following this, 5 days later, he undertook a brain magnetic resonance which showed two acute right cerebellar...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained.

References

  1. 1.
    Guptha SH, Promnitz AD, Warner A, Baron JC (2005) A‘collapsing’ golfer. Cerebrovasc Dis 19:281–282CrossRefGoogle Scholar
  2. 2.
    Maroon JC, Gardner P, Abla AA, El-Kadi H, Bost J (2007) “Golfer’s stroke”: golf-induced stroke from vertebral artery dissection. Surg Neurol 67:163–168.  https://doi.org/10.1016/j.surneu.2006.03.045 CrossRefPubMedGoogle Scholar
  3. 3.
    Choi MH, Hong JM, Lee JS, Shin DH, Choi HA, Lee K (2014) Preferential location for arterial dissection presenting as golf-related stroke. AJNR Am J Neuroradiol 35:323–326.  https://doi.org/10.3174/ajnr.A3768 CrossRefPubMedGoogle Scholar
  4. 4.
    Yamada SM, Goto Y, Murakami M, Hoya K, Matsuno A (2014) Vertebral artery dissection caused by swinging a golf club: case report and literature review. Clin J Sport Med 24:155–157.  https://doi.org/10.1097/01.jsm.0000432859.64058.d7 CrossRefPubMedGoogle Scholar
  5. 5.
    Engelter ST, Grond-Ginsbach C, Metso TM et al (2013) Cervical artery dissection and ischemic stroke patients study group. Cervical artery dissection: trauma and other potential mechanical trigger events. Neurology 80:1950–1957.  https://doi.org/10.1212/WNL.0b013e318293e2eb CrossRefPubMedGoogle Scholar

Copyright information

© Belgian Neurological Society 2018

Authors and Affiliations

  1. 1.Department of NeurologyAsl To4 IvreaIvreaItaly
  2. 2.Department of RadiologyClinica EporedieseIvreaItaly

Personalised recommendations