Lu Albert, Shen Peter, Lee Paul, Dahlin Brian, Waldau Ben, Nidecker Anna E, Nundkumar Anoop, Bobinski Matthew
Department of Radiology, University of California Davis Medical Center, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA,
Emerg Radiol. 2015 Aug;22(4):449-52. doi: 10.1007/s10140-015-1318-5. Epub 2015 Apr 28.
CrossFit is a high-intensity strength and conditioning program that has gained popularity over the past decade. Potential injuries associated with CrossFit training have been suggested in past reports. We report three cases of cervical carotid dissection that are associated with CrossFit workouts. Patient 1 suffered a distal cervical internal carotid artery (ICA) dissection near the skull base and a small infarct in Wernicke's area. He was placed on anticoagulation and on follow-up has near complete recovery. Patient 2 suffered a proximal cervical ICA dissection that led to arterial occlusion and recurrent middle cerebral artery territory infarcts and significant neurological sequelae. Patient 3 had a skull base ICA dissection that led to a partial Horner's syndrome but no cerebral infarct. While direct causality cannot be proven, intense CrossFit workouts may have led to the ICA dissections in these patients.
CrossFit是一项高强度的力量和体能训练计划，在过去十年中颇受欢迎。过去的报告曾指出与CrossFit训练相关的潜在损伤。我们报告三例与CrossFit训练相关的颈内动脉夹层病例。病例1在颅底附近发生颈内动脉（ICA）远端夹层，并在韦尼克区出现小面积梗死。他接受了抗凝治疗，随访时已接近完全康复。病例2发生颈内动脉近端夹层，导致动脉闭塞、大脑中动脉供血区反复梗死及严重神经后遗症。病例3在颅底发生颈内动脉夹层，导致部分霍纳综合征，但无脑梗死。虽然无法证实直接因果关系，但高强度的CrossFit训练可能导致了这些患者的颈内动脉夹层。
