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Updated: Oct 14, 2025

Author Spotlight: Assessing the Reliability of Doppler Ultrasound in Measuring Leg Blood Flow
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Vertebral artery dissection and high-intensity workouts.

Kenneth J Guinn1, Raycho G Kurkchijski2, Christie A Shen1

  • 1Department of Family Medicine, Baylor Scott and White Medical Center - Round Rock, Round Rock, Texas.

Proceedings (Baylor University. Medical Center)
|November 4, 2021
PubMed
Summary
This summary is machine-generated.

Overhead lifting workouts can cause vertebral artery dissection, leading to lateral medullary stroke. This case highlights the link between intense exercise and cerebrovascular events in athletes.

Keywords:
CrossFitexercise-induced traumastrokevertebral artery dissection

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Sports Medicine

Background:

  • Cerebral artery dissection is a significant cause of stroke, particularly in younger individuals.
  • Exercise-induced trauma is a recognized, though often underdiagnosed, cause of arterial dissection.
  • Lateral medullary stroke, also known as Wallenberg syndrome, results from infarction in the lateral part of the medulla oblongata.

Observation:

  • A 59-year-old athletic male presented with acute onset dysarthria and right-sided facial droop.
  • Symptoms were noted upon waking, suggesting a nocturnal or per-exercise event.
  • Clinical presentation was initially attributed to other causes before further investigation.

Findings:

  • Computed tomography angiogram revealed a right vertebral artery dissection.
  • The dissection was strongly correlated with a recent CrossFit-style overhead lifting workout.
  • This finding underscores the potential for high-intensity exercise to precipitate arterial dissection.

Implications:

  • Highlights the importance of considering exercise as a trigger for arterial dissection in athletes presenting with stroke symptoms.
  • Suggests the need for detailed exercise history in the evaluation of cerebrovascular events.
  • Emphasizes the critical role of advanced imaging like CT angiography in diagnosing vertebral artery dissection.