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Cervical Artery Dissection and Sports.
Engelter, Stefan T; Traenka, Christopher; Grond-Ginsbach, Caspar; Brandt, Tobias; Hakimi, Maani; Worrall, Bradford B; Debette, Stephanie; Pezzini, Alessandro; Leys, Didier; Tatlisumak, Turgut; Nolte, Christian H; Lyrer, Philippe.
Afiliación
  • Engelter ST; Department of Neurology and Stroke Center, University Hospital Basel and University of Basel, Basel, Switzerland.
  • Traenka C; Neurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, Basel, Switzerland.
  • Grond-Ginsbach C; Department of Neurology and Stroke Center, University Hospital Basel and University of Basel, Basel, Switzerland.
  • Brandt T; Neurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, Basel, Switzerland.
  • Hakimi M; Neurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, Basel, Switzerland.
  • Worrall BB; Department of Vascular and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Germany.
  • Debette S; Schweizerische Unfallversicherungsanstalt (SUVA), Swiss National Accident Insurance Institution, Lucerne, Switzerland.
  • Pezzini A; Department of Vascular Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
  • Leys D; Departments of Neurology and Public Health Sciences, University of Virginia Health System, Charlottesville, VA, United States.
  • Tatlisumak T; Department of Neurology, Bordeaux University Hospital, Bordeaux, France.
  • Nolte CH; Inserm U1219, Bordeaux, France.
  • Lyrer P; Department of Clinical and Experimental Sciences, Neurology Clinic, University of Brescia, Brescia, Italy.
Front Neurol ; 12: 663830, 2021.
Article en En | MEDLINE | ID: mdl-34135851
Cervical artery dissection (CeAD) occurring in the context of sports is a matter of concern for CeAD patients. They seek advice on the role of sports in CeAD and on the safety of resuming sports after CeAD. The scarcity of studies and guidelines addressing these issues poses a challenge. We aimed at summarizing the current knowledge about CeAD and sports in order to provide an informed, comprehensive opinion for counseling CeAD patients. We took into account pathophysiological considerations, observations of cases reports, series, and registries, and conclusions by analogy from aortic dissection or inherited connective tissue syndromes. In summary, practicing active sports as the cause of CeAD seems uncommon. It seems recommendable to refrain from any kind of sports activities for at least 1 month, which can be extended in case of an unfavorable clinical or neurovascular course. We recommend starting with sport activities at low intensity-preferably with types of endurance sports-and to gradually increase the pace in an individually tailored manner, taking into circumstances of the occurrences of the CeAD in the individual patient (particularly in relation to sports), the meaning of sports activities for the individual well-being, the presence or absence of comorbidities and of neurological sequela, neurovascular findings, and whether there are signs of an underlying connective tissue alteration. Major limitations and several forms of bias are acknowledged. Still, in the absence of any better data, the summarized observations and considerations might help clinicians in advising and counseling patients with CeAD in clinical practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: Front Neurol Año: 2021 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: Front Neurol Año: 2021 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Suiza