Athletics, minor trauma, and pediatric arterial ischemic stroke.

Sepelyak K, Gailloud P, Jordan LC
Eur J Pediatr. 2010 169 (5): 557-62

PMID: 19760434 · PMCID: PMC2836396 · DOI:10.1007/s00431-009-1066-1

Pediatric arterial ischemic stroke may occur as the result of trivial head or neck trauma sustained during a sports activity. We describe three cases of sports-related stroke in previously healthy school-age children and discuss acute and long-term stroke care. Possible mechanisms of sports-related stroke are addressed, as is evaluation for cause of stroke in children. In one of the reported cases, the child was found to have a vertebral artery dissection as the cause of his stroke, but no definitive cause of stroke was identified in the other two cases despite extensive evaluation. The advisability and timing of returning to athletic activities after stroke is also discussed. Many children with sports-related stroke are initially seen by a sports trainer, a pediatrician, or an ER physician. Thus, it is particularly important that these professionals are aware of the possibility of ischemic stroke occurring after even mild athletic injury. Childhood stroke may result from injuries sustained during athletic activities and should be considered when a child has acute focal neurologic signs.

MeSH Terms (12)

Athletic Injuries Child Humans Magnetic Resonance Angiography Magnetic Resonance Imaging Male Martial Arts Neck Racquet Sports Soccer Stroke Vertebral Artery Dissection

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