Internal Carotid Artery Dissection in Brazilian Jiu-Jitsu

Zeferino Demartini Jr; Maxweyd Rodrigues Freire; Roberto Oliver Lages; Alexandre Novicki Francisco; Felipe Nanni; Luana A. Maranha Gatto; Gelson Luis Koppe

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자료유형: 학술저널

저자정보: Zeferino Demartini Jr (Department of Neurosurgery Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR) Brazil) Maxweyd Rodrigues Freire (Department of Neurosurgery Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR) Brazil) Roberto Oliver Lages (Department of Neurosurgery Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR) Brazil) Alexandre Novicki Francisco (Department of Neurosurgery Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR) Brazil) Felipe Nanni (Department of Neurosurgery Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR) Brazil) Luana A. Maranha Gatto (Department of Neurosurgery Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR) Brazil) Gelson Luis Koppe (Department of Neurosurgery Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR) Brazil)

저널정보: 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.19 No.2

발행연도: 2017.1

수록면: 111 - 116 (6page)

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연구주제

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연구배경

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연구방법

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Carotid artery dissection is a significant cause of stroke in young patients. It may be asymptomatic and go undiagnosed, or minimal transient manifestations may follow, commanding a higher index of suspicion than ordinarily exists to avoid misdiagnosis. Reported herein is a 27-year-old man who suffered extracranial internal carotid artery dissection while practicing a Brazilian Jiu-Jitsu submission maneuver. The patient's condition suddenly deteriorated one week later due to distal embolization and stroke. Despite endovascular treatment, with stenting of the cervical carotid artery, neurologic deficits remained. Of note, the objective in martial arts, which is to kill or incapacitate, has yet to be fully tempered in transitioning to sport. Brazilian Jiu-jitsu, a relatively new and fast-growing form of martial art, places emphasis on submission maneuvers. Related injuries are not common knowledge and are poorly described in the literature. This account is intended to shed light on the risk of this discipline. Through education and improved supervision, vascular injuries of this nature and the potentially lethal or disabling consequences may thus be prevented in young athletes.

참고문헌 (23)

참고문헌 신청

Biondi A / 2005 / Progressive symptomatic carotid dissection treated with multiple stents / Stroke 36(9):e80~e82

Blunt SB / 1997 / Cervical carotid or vertebral artery dissection / BMJ 314(7076):243

Bogousslavsky J / 1992 / Ischemic stroke in patients under age 45 / Neurol Clin 10(1):113~124

Gupta V / 2015 / Minor trauma causing stroke in a young athlete / Case Rep Neurol Med 2015:182875

Hauser V / 2010 / Late sequelae of whiplash injury with dissection of cervical arteries / Eur Neurol 64(4):214~218

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