title: Preferential location for arterial dissection presenting as golf-related stroke.
abstract: Golf-related stroke has not been systematically reviewed. The purpose of our study was to describe in detail this particular stroke syndrome. Seven patients were analyzed at a university hospital and 7 patients were reviewed from MEDLINE literature. General demographics, symptom onset, neurologic signs, radiologic findings, and outcome were investigated. A total of 14 patients including 7 patients from the MEDLINE search were analyzed; all were men, with a mean age of 46.9 ± 12.8 years. Symptom onset was classified as during the golf swing (n = 9), unknown (n = 3), and after playing golf (n = 2). Most patients (n = 12) showed involvement of the vertebral artery and 2 patients showed involvement of the internal carotid artery (P = .008). Nine dissections were found on the right side, 3 on the left side, and 2 were bilateral (P = .046). Twelve patients had extracranial involvement and 2 patients had intracranial involvement (P = .008). Seven patients returned to normal, 5 returned to independence, 1 had unknown status, and 1 died. The anatomic preference of golf-related craniocervical arterial dissection is associated with the extracranial and vertebrobasilar system with a right-sided tendency as the result of stereotypical rotational movement during a golf swing.
authors.affiliation: From the Department of Neurology, Ajou University School of Medicine, Suwon, South Korea (M.H.C., J.M.H., J.S.L.).
authors.forename: M H
authors.initials: MH
authors.lastname: Choi
authors.forename: J M
authors.initials: JM
authors.lastname: Hong
authors.forename: J S
authors.initials: JS
authors.lastname: Lee
authors.forename: D H
authors.initials: DH
authors.lastname: Shin
authors.forename: H A
authors.initials: HA
authors.lastname: Choi
authors.forename: K
authors.initials: K
authors.lastname: Lee
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis*; D000792:Angiography / Q000379:methods; D001265:Athletic Injuries / Q000175:diagnosis*; D001921:Brain / Q000473:pathology*; D012090:Cumulative Trauma Disorders / Q000175:diagnosis*; D005260:Female; D006055:Golf / Q000293:injuries*; D006801:Humans; D007090:Image Interpretation, Computer-Assisted / Q000379:methods; D002532:Intracranial Aneurysm / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity