Vertebral Artery Dissection Causing Stroke After Trampoline Use

Casserly, Courtney; Lim, Rodrick; Prasad, Asuri N.

doi:10.1097/pec.0000000000000388

Cited by 8 publications

(5 citation statements)

References 15 publications

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“…The youngest patient described was a four-year-old boy who suffered a CAD-related stroke while playing on a trampoline (grouped under gymnastics in Table S1) resulting in a left vertebral artery dissection. 14 The oldest patient was a 70-year-old man who suffered a left vertebral artery dissection as a consequence of playing golf and subsequently died. 15 Reported patients were significantly more often men than women (74% vs. 26%, p < 0.001).…”

Section: Resultsmentioning

confidence: 99%

Cervical artery dissection after sports – An analytical evaluation of 190 published cases

Schlemm

Nolte

Engelter

et al. 2017

European Stroke Journal

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Introduction: Cervical artery dissections may be preceded by mechanical trigger events, often related to sports. Methods: Using the MEDLINE database, we identified case reports and case series of sports-related cervical artery dissections. Information of the type of sport, age and gender of the patient, affected vessels, associated infarction, time delay, and neurological sequelae were extracted. Demographic and clinical characteristics were compared between sport groups using analysis of variance and Chi square tests. Differences were further assessed with adjusted post hoc tests and homogenous subsets. Results: A total of 115 reports describing 190 patients with cervical artery dissections related to 45 different sports were identified. The mean age of all patients was 35 years; 26% of all patients were women. Anterior and posterior circulation, as well as left and right side were affected with similar frequency. Patients belonging to different sport categories differed significantly with regard to age (p < 0.001), gender (p < 0.001), and affected circulation (anterior vs. posterior, p ¼ 0.02). The posterior circulation was most often affected in golf players (88%) and least often in individuals engaging in exercise (23%) and scuba divers (29%). Laterality (left vs. right) and mortality were similar between sport groups. Discussion: We performed a comprehensive review and analytical evaluation of case reports describing patients with cervical artery dissections after sport. Confirmation of our findings in prospective studies is needed. Conclusion: Cervical artery dissection has been described in relation to a wide variety of sports. The risk of injury to particular neurovascular structures may depend on the type sport involved. Discipline-specific incidence rates are not known.

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Section: Resultsmentioning

confidence: 99%

Cervical artery dissection after sports – An analytical evaluation of 190 published cases

Schlemm

Nolte

Engelter

et al. 2017

European Stroke Journal

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“…This study showed various injuries, such as spinal compression fractures, skull fracture, epidural hematoma, and urethral meatus laceration. Casserly et al [27] reported vertebral artery dissection that caused a stroke in a 4-year-old boy. Approximately 10% of trampoline-related injuries in children result in spinal injuries, primarily of the cervical spine [10,11,28].…”

Section: Discussionmentioning

confidence: 99%

Rapidly growing pediatric trampoline-related injuries in Korea: a 10-year single center retrospective study

Cho

Kim

et al. 2019

Korean J Pediatr

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PurposeSeveral published policy statements have warned against the risks associated with trampoline use and recommended safety guidelines. However, few studies have focused on trampoline-related injuries in Korea. This study aimed to assess the incidence and characteristics of pediatric trampoline-related injuries presented to Ulsan University Hospital.MethodsWe retrospectively reviewed the medical records of children aged <16 years with trampoline-related injuries who visited our Emergency Department between 2008 and 2017.ResultsOver the 10-year period, 178 trampoline-related injuries were reported, which represented a significant increase (P=0.016). Most (87.6%) of the injuries occurred during the last 5 study years, and a rapid increase in injuries was observed in children aged <6 years. Lower extremity injuries (62.4%) were the most common, followed by injuries of the upper extremities, head and face, and trunk, including injuries to the neck and spine. Sixty-seven children (37.6%) had fractures, and proximal tibia fractures were the most common. Fractures were significantly more common in younger children (<6 years old) than in older children (P=0.026).ConclusionIn Korea, the mechanism of trampoline injury is similar to that of injuries incurred in indoor trampoline parks but is characterized by smaller spaces and multiple users. Trampoline use and the incidence of trampoline-related injuries in children aged <6 years are increasing rapidly. Prohibiting the use of trampolines for children aged <6 years, restricting simultaneous use by multiple children, and ensuring adult supervision should be strictly emphasized. Public awareness and policy guidelines are needed to reduce the incidence of trampoline-related injuries.

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“…Table 1 presents the characteristics of the identified studies. There were 10 studies from the United States, two from Canada, and one each from Turkey and the United Kingdom 10–23 . The mean age at injury was 10.76 years (range 4–18 years, median 11.00 years).…”

Section: Source Year Study Type Age and Gender Country Type Of Injury...mentioning

confidence: 99%

“…There were 10 studies from the United States, two from Canada, and one each from Turkey and the United Kingdom. [10][11][12][13][14][15][16][17][18][19][20][21][22][23] The mean age at injury was 10.76 years (range 4-18 years, median 11.00 years). Most cases were male 72%…”

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confidence: 99%

Severe and traumatic injuries associated with home trampoline use in children and adolescents: A systematic review

Eslick

Nuñez

Elliott

2022

Academic Emergency Medicine

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Trampolining is a popular form of recreation and trampolines are among the most common gifts to school age children and preadolescents. 1 However, trampolining poses a significant risk of injury, which accounts annually for nearly 100,000 pediatric emergency visits in the United States. 2 A recent meta-analysis of 11 studies with 1,386,843 trampoline injuries compared the type and site of injury sustained at trampoline centers and on home trampolines. 3 The study identified that musculoskeletal and/or orthopedic injuries, lower-extremity injury, sprains, or a need for surgery were more likely to result from injuries sustained at trampoline centers rather than on home trampolines. 3 Conversely, upper-extremity injury (odds ratio [OR] 2.04, 95% confidence interval [CI] 1.05-4.00), concussion (OR 2.08, 95% CI 1.54-2.86), and lacerations (OR 2.17, 95% CI 1.69-2.86) were more likely to occur in the home compared to trampoline centers. 3 Previous studies have suggested that serious injuries are more likely to occur at trampoline centers than on home trampolines. [2][3][4][5] More than a decade ago, the American Academy of Pediatrics (AAP) and the Canadian Pediatric Society (CPS) issued policy statements advising against the recreational use of home trampolines because of the unacceptable risks. 6,7 Since then, trampoline injuries have not decreased, but have almost doubled in the United States. 2 Recent data suggest that most trampoline injuries that occur within the home environment result from improper landing onto or falling off the trampoline. 8 We conducted a systematic literature review to identify existing evidence on severe and traumatic trampoline injuries that occurred in the home environment, by type and site of injury, and treatment outcomes in children and adolescents aged ≤ 18 years. We followed the PRISMA guidelines. 9 A systematic search of the databases MEDLINE, Scopus, Google Scholar, and EMBASE was performed up to August 29, 2022, to identify relevant articles. Our search terms included ((trampoline) AND ((wound and injuries) OR (trauma)) OR (accident) OR (injury)). The reference lists of relevant articles were also searched for appropriate studies. No language or time limits were used in either the search or the study selection. No search for unpublished literature was performed. We included studies that reported severe or traumatic injury associated with trampoline use among children or adolescents. A severe injury was defined as a physical injury that results a significant injury that includes dismemberment, organ damage, physical disfigurement, fractured bones, permanent disabilities, and a limited ability to perform daily activities. Traumatic injury was defined as a physical injury of sudden onset and severity that requires immediate medical attention. Data extraction was performed using a standardized form and included information on the publication year, participant age and gender, study design, country, trampoline activity, symptoms and signs, type and place of injury, and outcome.

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Vertebral Artery Dissection Causing Stroke After Trampoline Use

Cited by 8 publications

References 15 publications

Cervical artery dissection after sports – An analytical evaluation of 190 published cases

Cervical artery dissection after sports – An analytical evaluation of 190 published cases

Rapidly growing pediatric trampoline-related injuries in Korea: a 10-year single center retrospective study

Severe and traumatic injuries associated with home trampoline use in children and adolescents: A systematic review

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