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CrossFit-related cervical internal carotid artery dissection

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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.

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References

  1. Glassman G (2007) "Understanding Crossfit". Crossfit Journal

  2. Smith MM et al (2013) Crossfit-based high-intensity power training improves maximal aerobic fitness and body composition. J Strength Cond Res 27(11):3159–3172

    Article  PubMed  Google Scholar 

  3. Fox A, King A (2014) The case files: CrossFit-induced carotid artery dissection. Emergency Medicine News

  4. Stephanie Cooperman (2005) "Getting Fit, Even if it Kills You". New York Times

  5. Provenzale JM (2009) MRI and MRA for evaluation of dissection of craniocerebral arteries, lessons from the medical literature. Emerg Radiol 16(3):185–193

    Article  PubMed  Google Scholar 

  6. Hak PT, Hodzovic E, Hickey B (2013) The nature and prevalence of injury during CrossFit training. J Strength Cond Res

  7. Schievink WI (2001) Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 344(12):898–906

    Article  CAS  PubMed  Google Scholar 

  8. Macdonald D, McKilop E (2006) Carotid artery dissection after treadmill running. Br J Sports Med 40(4):e10

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Rizzo L et al (2006) Dissection of cervicocephalic arteries: early diagnosis and follow-up with magnetic resonance imaging. Emerg Radiol 12(6):254–265

    Article  PubMed  Google Scholar 

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The authors declare that they have no conflict on interest.

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Correspondence to Albert Lu.

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Lu, A., Shen, P., Lee, P. et al. CrossFit-related cervical internal carotid artery dissection. Emerg Radiol 22, 449–452 (2015). https://doi.org/10.1007/s10140-015-1318-5

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  • DOI: https://doi.org/10.1007/s10140-015-1318-5

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