BMJ Case Reports 2013; doi:10.1136/bcr-2012-008412

Blunt traumatic internal carotid artery dissection with delayed stroke in a young skydiver

  1. Mohammad Baqer Mohammad Ali3
  1. 1Department of Emergency Medicine, Rashid Hospital Trauma Center, Dubai Health Authority, Dubai, UAE
  2. 2Department of Internal Medicine, Dubai Health Authority, Dubai, UAE
  3. 3Medical ICU, Rashid Hospital, Dubai Health Authority, Dubai, UAE
  1. Correspondence to Dr Kosar Hussain, koshussain{at}


We describe a case of a 33-year-old skydiver who presented to the emergency department after a traumatic landing following a parachuting episode. He initially presented with right knee pain secondary to a tibial plateau fracture. There were no neurological symptoms or signs at the initial assessment. While he was still in the emergency department, he suddenly developed headache and left-sided hemiplegia. An urgent work-up showed right middle cerebral artery thrombosis with right internal carotid thrombosis and dissection. We have discussed some possible mechanism of injury in skydiving that may have predisposed to the occurrence of cervical dissection in our patient.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article