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Cervical Artery Dis...
Cervical Artery Dissection and Sports
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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2021-05-31
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Frontiers Media SA,2021
Numbers
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LIBRIS-ID:oai:gup.ub.gu.se/306383
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https://gup.ub.gu.se/publication/306383URI
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https://doi.org/10.3389/fneur.2021.663830DOI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Cervical artery dissection (CeAD) occurring in the context of sports is a matter of concern for CeAD patients. They seek advice on the role of sports in CeAD and on the safety of resuming sports after CeAD. The scarcity of studies and guidelines addressing these issues poses a challenge. We aimed at summarizing the current knowledge about CeAD and sports in order to provide an informed, comprehensive opinion for counseling CeAD patients. We took into account pathophysiological considerations, observations of cases reports, series, and registries, and conclusions by analogy from aortic dissection or inherited connective tissue syndromes. In summary, practicing active sports as the cause of CeAD seems uncommon. It seems recommendable to refrain from any kind of sports activities for at least 1 month, which can be extended in case of an unfavorable clinical or neurovascular course. We recommend starting with sport activities at low intensity-preferably with types of endurance sports-and to gradually increase the pace in an individually tailored manner, taking into circumstances of the occurrences of the CeAD in the individual patient (particularly in relation to sports), the meaning of sports activities for the individual well-being, the presence or absence of comorbidities and of neurological sequela, neurovascular findings, and whether there are signs of an underlying connective tissue alteration. Major limitations and several forms of bias are acknowledged. Still, in the absence of any better data, the summarized observations and considerations might help clinicians in advising and counseling patients with CeAD in clinical practice.
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Traenka, C.
(author)
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Grond-Ginsbach, C.
(author)
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Brandt, T.
(author)
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Hakimi, M.
(author)
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Worrall, B. B.
(author)
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Debette, S.
(author)
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Pezzini, A.
(author)
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Leys, D.
(author)
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Tatlisumak, TurgutGothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology(Swepub:gu)xtatlt
(author)
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Nolte, C. H.
(author)
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Lyrer, P.
(author)
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Göteborgs universitetInstitutionen för neurovetenskap och fysiologi
(creator_code:org_t)
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In:Frontiers in Neurology: Frontiers Media SA121664-2295
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Engelter, S. T.
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Traenka, C.
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Grond-Ginsbach, ...
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Brandt, T.
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Hakimi, M.
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Worrall, B. B.
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Debette, S.
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Pezzini, A.
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Leys, D.
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Tatlisumak, Turg ...
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Nolte, C. H.
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Lyrer, P.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Neurosciences
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Frontiers in Neu ...
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University of Gothenburg