This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Charles DeCarli, MD; Roger Kurlan, MD
Department of Neurology

Richard Green, MD
Department of Surgery University of Rochester School of Medicine 601 Elmwood Ave Rochester, NY 14642

Arch Neurol. 1987;44(1):11-12.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Dissection of the internal carotid artery may occur as the result of relatively trivial trauma, usually in the setting of sports activity.¹ It is estimated that 41% of American adults exercise regularly outside of work,² yet carotid artery dissection accounts for less than 1% of all cerebrovascular disease,^1,2 suggesting that this is a rare or underreported problem.

We have recently seen two cases of internal carotid dissection resulting in stroke in the middle cerebral artery territory, shortly after two different, commonly used, simple exercise programs.

Report of Cases.

—CASE 1.—A 23-year-old right-handed woman, who had a history of common migraine headaches since the age of 13 years, suddenly developed severe right-sided headache and left-sided weakness while performing aerobic exercises in response to a popular exercise record. She had begun the exercise routine with the usual "warm-up" of flexion, hyperextension, and rotation of the neck . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?