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

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}dha.gov.ae

Summary

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.

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