RESUMEN
CrossFit is a high-intensity strength and conditioning program that has gained popularity over the past decade. Potential injuries associated with CrossFit training have been suggested in past reports. We report three cases of cervical carotid dissection that are associated with CrossFit workouts. Patient 1 suffered a distal cervical internal carotid artery (ICA) dissection near the skull base and a small infarct in Wernicke's area. He was placed on anticoagulation and on follow-up has near complete recovery. Patient 2 suffered a proximal cervical ICA dissection that led to arterial occlusion and recurrent middle cerebral artery territory infarcts and significant neurological sequelae. Patient 3 had a skull base ICA dissection that led to a partial Horner's syndrome but no cerebral infarct. While direct causality cannot be proven, intense CrossFit workouts may have led to the ICA dissections in these patients.
Asunto(s)
Traumatismos en Atletas/diagnóstico , Disección de la Arteria Carótida Interna/diagnóstico , Disección de la Arteria Carótida Interna/etiología , Diagnóstico por Imagen , Diagnóstico Diferencial , Femenino , Centros de Acondicionamiento , Humanos , Masculino , Adulto JovenRESUMEN
Rabies is a nearly uniformly fatal disease for individuals who develop clinical symptoms. We report a case of a patient with paralytic rabies who survived after being treated with what is now known as Milwaukee protocol. This is only the third known case of rabies survival after being treated with the protocol. We present sequential magnetic resonance imaging (MRI) findings of the brain and lumbar spine throughout the course of her treatment. In doing so, we provide insight into the temporal evolution of MRI findings in the brain and lumbar spine.