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Case Reports in Neurological Medicine
Volume 2015 (2015), Article ID 182875, 3 pages
http://dx.doi.org/10.1155/2015/182875
Case Report

Minor Trauma Causing Stroke in a Young Athlete

1Department of Medicine, University of California San Diego (UCSD), San Diego, CA 92103, USA
2Nova Southeastern University, 3301 College Avenue, Fort Lauderdale, FL 33314, USA
3Florida International University (FIU), 11200 SW 8th Street, Miami, FL 33174, USA

Received 13 January 2015; Revised 18 March 2015; Accepted 20 March 2015

Academic Editor: Chin-Chang Huang

Copyright © 2015 Vineet Gupta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 17-year-old Caucasian male presented with sudden dizziness, ataxia, vertigo, and clumsiness lasting for a couple of hours. He had a subtle trauma during a wrestling match 2 days prior to the presentation. A CT Angiogram (CTA) and MRI showed left vertebral artery dissection (VAD). The patient was treated with anticoagulation with heparin drip in the ICU. The patient was discharged home on the third day on Lovenox-warfarin bridging. This case underscores the importance of considering VAD as a differential diagnosis in patients with sports-related symptoms especially in activities entailing hyperextension or hyperrotation of neck. Due to a varied latent period, often minor underlying trauma, and subtle presentation, a low index of suspicion is warranted in timely diagnosis and treatment of VAD. Considering recent evidence in treatment modality, either antiplatelet therapy or anticoagulation may be used for treatment of VAD.