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KMID : 1005420170190020111
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Journal of Cerebrovascular and Endovascular Neurosurgery
2017 Volume.19 No. 2 p.111 ~ p.116
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Internal Carotid Artery Dissection in Brazilian Jiu-Jitsu
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Jr Zeferino Demartini
Freire Maxweyd Rodrigues
Lages Roberto Oliver
Francisco Alexandre Novicki
Nanni Felipe
Luana A.
Gatto Maranha
Koppe Gelson Luis
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Abstract
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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.
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KEYWORD
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Carotid artery injuries, Internal carotid artery dissection, Endovascular treatment, Vascular disorder, Sports, Martial arts
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Listed journal information
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