TY - JOUR PY - 2015// TI - Minor trauma causing stroke in a young athlete JO - Case reports in neurological medicine A1 - Gupta, Vineet A1 - Dhawan, Naveen A1 - Bahl, Jaya SP - e182875 EP - e182875 VL - 2015 IS - N2 - A 17-year-old Caucasian male presented with sudden dizziness, ataxia, vertigo, and clumsiness lasting for a couple of hours. He had a subtle trauma during a wrestling match 2 days prior to the presentation. A CT Angiogram (CTA) and MRI showed left vertebral artery dissection (VAD). The patient was treated with anticoagulation with heparin drip in the ICU. The patient was discharged home on the third day on Lovenox-warfarin bridging. This case underscores the importance of considering VAD as a differential diagnosis in patients with sports-related symptoms especially in activities entailing hyperextension or hyperrotation of neck. Due to a varied latent period, often minor underlying trauma, and subtle presentation, a low index of suspicion is warranted in timely diagnosis and treatment of VAD. Considering recent evidence in treatment modality, either antiplatelet therapy or anticoagulation may be used for treatment of VAD.

Language: en

LA - en SN - 2090-6668 UR - http://dx.doi.org/10.1155/2015/182875 ID - ref1 ER -