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PT  - JOURNAL ARTICLE
AU  - Choi, M.H.
AU  - Hong, J.M.
AU  - Lee, J.S.
AU  - Shin, D.H.
AU  - Choi, H.A.
AU  - Lee, K.
TI  - Preferential Location for Arterial Dissection Presenting as Golf-Related Stroke
AID  - 10.3174/ajnr.A3768
DP  - 2014 Feb 01
TA  - American Journal of Neuroradiology
PG  - 323--326
VI  - 35
IP  - 2
4099  - http://www.ajnr.org/content/35/2/323.short
4100  - http://www.ajnr.org/content/35/2/323.full
SO  - Am. J. Neuroradiol.2014 Feb 01; 35
AB  - SUMMARY: Golf-related stroke has not been systematically reviewed. The purpose of our study was to describe in detail this particular stroke syndrome. Seven patients were analyzed at a university hospital and 7 patients were reviewed from MEDLINE literature. General demographics, symptom onset, neurologic signs, radiologic findings, and outcome were investigated. A total of 14 patients including 7 patients from the MEDLINE search were analyzed; all were men, with a mean age of 46.9 ± 12.8 years. Symptom onset was classified as during the golf swing (n = 9), unknown (n = 3), and after playing golf (n = 2). Most patients (n = 12) showed involvement of the vertebral artery and 2 patients showed involvement of the internal carotid artery (P = .008). Nine dissections were found on the right side, 3 on the left side, and 2 were bilateral (P = .046). Twelve patients had extracranial involvement and 2 patients had intracranial involvement (P = .008). Seven patients returned to normal, 5 returned to independence, 1 had unknown status, and 1 died. The anatomic preference of golf-related craniocervical arterial dissection is associated with the extracranial and vertebrobasilar system with a right-sided tendency as the result of stereotypical rotational movement during a golf swing. VAvertebral artery