Neurologic complication after a roller coaster ride

Leitao, Davi Sa; Mendonca, Dercio; Iyer, Harish; Kao, Cheng-Kai

doi:10.1016/j.ajem.2010.09.026

Cited by 7 publications

(3 citation statements)

References 14 publications

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“…Recognition of common signs of stroke in both children and adults—such as facial droop, arm weakness, and speech disturbance—is essential in ensuring the best outcomes [18]. Providers should be aware of these risks and be suspicious of headache, neck pain and neurologic symptoms in patients with a recent history of sudden neck movements such as during roller coaster rides [16]. …”

Section: Discussionmentioning

confidence: 99%

Middle Cerebral Artery Stroke as Amusement Park Injury: Case Report and Review of the Literature

et al. 2017

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Strokes as amusement park injuries are rare, but have been reported in the literature. Only about 20 cases of cerebrovascular accidents after amusement park visits have been described. We report a healthy 12-year-old boy who presented with facial droop, slurred speech, and inability to use his right arm after riding roller coasters at a local amusement park. He was evaluated and found to have a left middle cerebral artery (MCA) infarction. The patient was treated with anticoagulants and has recovered with no major residual symptoms. It is likely that his neurological symptoms occurred due to the high head accelerations experienced on the roller coasters, which are more detrimental to children due to immature cervical spine development and muscle strength. Early diagnosis of dissection and stroke results in a favorable prognosis. Providers and parents should be aware of the potential risk of roller coasters and act quickly on neurologic changes in children that have recently been to an amusement park.

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Section: Discussionmentioning

confidence: 99%

Middle Cerebral Artery Stroke as Amusement Park Injury: Case Report and Review of the Literature

et al. 2017

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confidence: 99%

“…2 Previous case reports of injuries associated with roller coasters have predominantly focused on catastrophic injuries such as internal carotid and vertebral artery dissections with cerebral infarctions as well as subarachnoid hemorrhages, but have largely overlooked new or worsening headaches and dizziness not associated with devastating injury. [3][4][5] The International Classification of Headache Disorders, Third Edition (ICHD-3) defines headache attributed to trauma or injury to the head and/or neck by a new headache occurring for the first time in close temporal relation to trauma or injury to the head and/ or neck and when a preexisting headache with the characteristics of a primary headache disorder becomes chronic or is made significantly worse in close temporal relation to trauma or injury. 6 Post-traumatic headaches most commonly present with a migrainous phenotype in 88% of respondents according to one study, with 91% of patients developing new headaches in the absence of a previous headache disorder.…”

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confidence: 99%

Headache and Dizziness after Roller Coaster Rides: A Case Series of 31 Patients

Moskatel

Smirnoff

2022

Can. J. Neurol. Sci.

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Previous literature on roller coaster injuries focuses on catastrophic injuries. We conducted a retrospective study of 31 adults with headache or dizziness after roller coaster rides. Twenty five of 31 (81%) patients presented with new or worsening headache, predominantly migraine (15/25, 60%), including 8/25 (32%) with chronic migraine. Of the chronic migraine patients, 4/8 (50%) already had the diagnosis and presented with an exacerbation. Five of the 25 (20%) were ultimately found to have a cerebrospinal fluid (CSF) leak. While persistent symptoms appear to be relatively rare, patients with chronic migraine and potential CSF leaks should consider skipping these attractions.

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