Internal Carotid Artery Dissection in Brazilian Jiu-Jitsu.

Autor:	Demartini Z Jr; Department of Neurosurgery, Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR), Brazil., Rodrigues Freire M; Department of Neurosurgery, Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR), Brazil., Lages RO; Department of Neurosurgery, Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR), Brazil., Francisco AN; Department of Neurosurgery, Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR), Brazil., Nanni F; Department of Neurosurgery, Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR), Brazil., Maranha Gatto LA; Department of Neurosurgery, Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR), Brazil., Koppe GL; Department of Neurosurgery, Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR), Brazil.
Jazyk:	angličtina
Zdroj:	Journal of cerebrovascular and endovascular neurosurgery [J Cerebrovasc Endovasc Neurosurg] 2017 Jun; Vol. 19 (2), pp. 111-116. Date of Electronic Publication: 2017 Jun 30.
DOI:	10.7461/jcen.2017.19.2.111
Abstrakt:	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. Competing Interests: Disclosure: The authors report no conflicts of interest concerning the materials or methods used in this study or the findings specified in this paper.
Databáze:	MEDLINE
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