Wechsler B, Kim H, Hunter J: Trampolines, children, and strokes. Am J Phys Med Rehabil 2001;80:608–613.
Strokes in children related to sports injuries are rare, but pediatric trampoline injuries are dramatically increasing. Minor trauma to the vulnerable extracranial vertebral arteries as they travel superficially through the dorsum of the neck can begin a cascade of events that results in arterial dissection, thrombus formation, and embolization with cerebral infarction. We present the case of an 11-yr-old boy who developed left vertebral artery dissection subsequent to a trampoline injury.
From the Department of Rehabilitation Medicine, Hospital of the University of Pennsylvania (BW, HK), Medical School of the University of Pennsylvania (HK, JH), Philadelphia, Pennsylvania; and the Division of Child Development and Rehabilitation (HK), the Department of Neuroradiology (JH), Children’s Hospital of Philadelphia, Pennsylvania.
Presented in part as a poster presentation at the Association of Academic Physiatrists Annual Meeting, March 2, 2000.
All correspondence and requests for reprints should be addressed to Barbara Wechsler, MD, Department of Rehabilitation Medicine, 5 West Gates, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104.