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Stroke in a Young Swimmer.
Shahram Mohaghegh1, Maryam Hajian2
1Sports and Exercise Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Asian Journal of Sports Medicine
|October 9, 2015
Summary
Cervical arterial dissection, a cause of stroke in young adults, was diagnosed in a professional swimmer after experiencing neurological symptoms post-exercise. This case highlights the importance of considering dissection in athletes presenting with stroke-like symptoms.
Area of Science:
- Neurology
- Sports Medicine
- Vascular Imaging
Background:
- Cervical arterial dissection is a significant cause of stroke in young individuals.
- Dissections are associated with certain sports, but rarely reported in swimmers.
- This case presents one of the first instances of cervical arterial dissection in a young swimmer.
Observation:
- A 30-year-old professional swimmer presented with sudden onset ataxia, headache, neck pain, left facial weakness, and left-sided paresthesia after land-based stretching exercises.
- No history of significant head/neck trauma, manipulation, or diving was reported.
- Cerebellar infarction was diagnosed via neuroimaging.
Findings:
- Cervical magnetic resonance angiography confirmed left vertebral artery dissection as the cause of the cerebellar infarction.
- The dissection was linked to stretching exercises, not direct trauma or diving.
Implications:
- Cervicocephalic arterial dissection should be considered in the differential diagnosis of young athletes with neurological deficits and neck pain.
- Sports medicine practitioners must be aware of this underdiagnosed cause of stroke in athletes.
- Prompt diagnosis and management are crucial to prevent further ischemic events.
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