Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 1997 Dec;31(4):346–347. doi: 10.1136/bjsm.31.4.346

Stroke without dissection from a neck holding manoeuvre in martial arts

M O McCarron, J Patterson, R Duncan
PMCID: PMC1332575  PMID: 9429016

Abstract

Carotid artery trauma is a known cause of stroke in young people. The vessel may occlude, dissect or shower thrombotic emboli into intracranial vessels. This paper reports the use of single photon emission computed tomography (SPECT) imaging in a 29 year old man who developed an embolic stroke after neck holding manoeuvres at a martial arts class. Awareness of the potential consequences of these procedures is matched by the need for rapid and accurate diagnosis of stroke now that thrombolytic and neuroprotective treatments are emerging, which are effective only within a short time window.

Keywords: stroke, martial arts, single photon emission computed tomography

Full text

PDF
346

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alexandrov A. V., Black S. E., Ehrlich L. E., Bladin C. F., Smurawska L. T., Pirisi A., Caldwell C. B. Simple visual analysis of brain perfusion on HMPAO SPECT predicts early outcome in acute stroke. Stroke. 1996 Sep;27(9):1537–1542. doi: 10.1161/01.str.27.9.1537. [DOI] [PubMed] [Google Scholar]
  2. Blunt S. B., Galton C. Cervical carotid or vertebral artery dissection. BMJ. 1997 Jan 25;314(7076):243–243. doi: 10.1136/bmj.314.7076.243. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Li M. S., Smith B. M., Espinosa J., Brown R. A., Richardson P., Ford R. Nonpenetrating trauma to the carotid artery: seven cases and a literature review. J Trauma. 1994 Feb;36(2):265–272. doi: 10.1097/00005373-199402000-00025. [DOI] [PubMed] [Google Scholar]
  4. McLatchie G. R., Davies J. E., Culley J. H. Injuries in karate--a case for medical control. J Trauma. 1980 Nov;20(11):956–958. [PubMed] [Google Scholar]
  5. Mourad J. J., Girerd X., Safar M. Carotid-artery dissection after a prolonged telephone call. N Engl J Med. 1997 Feb 13;336(7):516–516. doi: 10.1056/NEJM199702133360717. [DOI] [PubMed] [Google Scholar]
  6. Shimosegawa E., Hatazawa J., Inugami A., Fujita H., Ogawa T., Aizawa Y., Kanno I., Okudera T., Uemura K. Cerebral infarction within six hours of onset: prediction of completed infarction with technetium-99m-HMPAO SPECT. J Nucl Med. 1994 Jul;35(7):1097–1103. [PubMed] [Google Scholar]
  7. Thomas P., Lowitt N. R. Clinical problem-solving. A traumatic experience. N Engl J Med. 1995 Aug 3;333(5):307–310. doi: 10.1056/NEJM199508033330509. [DOI] [PubMed] [Google Scholar]
  8. Ueda T., Hatakeyama T., Kumon Y., Sakaki S., Uraoka T. Evaluation of risk of hemorrhagic transformation in local intra-arterial thrombolysis in acute ischemic stroke by initial SPECT. Stroke. 1994 Feb;25(2):298–303. doi: 10.1161/01.str.25.2.298. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES