Preferential Location for Arterial Dissection Presenting as Golf-Related Stroke
- Authors
- Choi, M. H.; Hong, J. M.; Lee, J. S.; Shin, D. H.; Choi, H. A.; Lee, K.
- Issue Date
- Feb-2014
- Publisher
- AMER SOC NEURORADIOLOGY
- Citation
- AMERICAN JOURNAL OF NEURORADIOLOGY, v.35, no.2, pp.323 - 326
- Journal Title
- AMERICAN JOURNAL OF NEURORADIOLOGY
- Volume
- 35
- Number
- 2
- Start Page
- 323
- End Page
- 326
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/12878
- DOI
- 10.3174/ajnr.A3768
- ISSN
- 0195-6108
- Abstract
- Seven patients with golf-related strokes were imaged and the literature was reviewed for similar cases, which generated a total 14 such occurrences. The most common time of symptom onset occurred during the golf swing and over one-half of patients damaged an extracranial vertebral artery with most dissections involving the right side. Of a total of 14 dissections, 7 patients had complete symptom resolution and returned to normal. SUMMARY: Golf-related stroke has not been systematically reviewed. The purpose of our study was to describe in detail this particular stroke syndrome. Seven patients were analyzed at a university hospital and 7 patients were reviewed from MEDLINE literature. General demographics, symptom onset, neurologic signs, radiologic findings, and outcome were investigated. A total of 14 patients including 7 patients from the MEDLINE search were analyzed; all were men, with a mean age of 46.9 +/- 12.8 years. Symptom onset was classified as during the golf swing (n = 9), unknown (n = 3), and after playing golf (n = 2). Most patients (n = 12) showed involvement of the vertebral artery and 2 patients showed involvement of the internal carotid artery (P = .008). Nine dissections were found on the right side, 3 on the left side, and 2 were bilateral (P = .046). Twelve patients had extracranial involvement and 2 patients had intracranial involvement (P = .008). Seven patients returned to normal, 5 returned to independence, 1 had unknown status, and 1 died. The anatomic preference of golf-related craniocervical arterial dissection is associated with the extracranial and vertebrobasilar system with a right-sided tendency as the result of stereotypical rotational movement during a golf swing.
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