title: Symptomatic middle cerebral artery dissection in a young tennis player.
abstract: No information has been available regarding middle cerebral artery (MCA) dissection occurring as a result of athletics. We describe a case of cerebral infarction in the right MCA region that occurred in young, right-handed tennis player while he was serving. Angiography with a contrast medium and a 3-dimensional rotational system revealed proximal M2 stenosis, and emergency superficial temporal artery-MCA anastomosis was performed. As a result, the patient showed a complete recovery and resumed all activities of daily life, including playing tennis. Because sports such as tennis, in which players vigorously swing their heads while serving, could lead to intracranial artery dissection, we advise that the possibility of MCA dissection should be considered in athletes with certain neurological symptoms, including headache.
authors.affiliation: Department of Neurology, Shioda Hospital, Chiba. doc50723@hotmail.com
authors.forename: Arata
authors.initials: A
authors.lastname: Abe
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Nishiyama
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Kamiyama
authors.forename: Isao
authors.initials: I
authors.lastname: Kitahara
authors.forename: Ken-ichiro
authors.initials: K
authors.lastname: Katsura
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Katayama
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002533:Cerebral Angiography / Q000379:methods; D003251:Constriction, Pathologic; D019416:Head Movements; D006261:Headache / Q000209:etiology; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D013699:Temporal Arteries / Q000601:surgery; D013715:Tennis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures