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Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
Published on: August 11, 2023
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Preferential location for arterial dissection presenting as golf-related stroke
1From the Department of Neurology, Ajou University School of Medicine, Suwon, South Korea (M.H.C., J.M.H., J.S.L.).
AJNR. American Journal of Neuroradiology
|November 5, 2013
Summary
Golf-related stroke, a type of craniocervical arterial dissection, often involves the vertebral artery due to the rotational movements during a golf swing. This review details 14 cases, highlighting common symptoms and outcomes.
Area of Science:
- Neurology
- Vascular Medicine
- Sports Medicine
Background:
- Golf-related stroke, a specific type of craniocervical arterial dissection, lacks systematic review.
- Understanding this rare condition is crucial for timely diagnosis and management.
Purpose of the Study:
- To systematically review and detail the clinical presentation, radiologic findings, and outcomes of golf-related stroke.
- To identify characteristic patterns of arterial involvement and predisposing factors.
Main Methods:
- A comprehensive review of 7 patients diagnosed at a university hospital.
- A systematic literature search of MEDLINE for additional cases, totaling 14 patients for analysis.
Main Results:
- All 14 analyzed patients were male, with a mean age of 46.9 years.
- Symptom onset occurred during the golf swing in 9 patients, with most cases (12) involving the vertebral artery.
- A right-sided tendency (9 cases) and extracranial involvement (12 cases) were observed, linked to the biomechanics of the golf swing.
Conclusions:
- Golf-related craniocervical arterial dissection predominantly affects the extracranial and vertebrobasilar system, often with right-sided vertebral artery involvement.
- The stereotypical rotational movements during a golf swing are strongly associated with this specific stroke syndrome.
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