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A total of 14 patients including 7 patients from the MEDLINE search were analyzed; all were men, with a mean age of 46.9 � 12.8 years. Symptom onset was classified as during the golf swing (n=9), unknown (n=3), and after playing golf (n=2). Most patients (n=12) showed involvement of the vertebral artery and 2 patients showed involvement of the internal carotid artery (P=.008). Nine dissections were found on the right side, 3 on the left side, and 2 were bilateral (P=.046). Twelve patients had extracranial involvement and 2 patients had intracranial involvement (P=.008). Seven patients returned to normal, 5 returned to independence, 1 had unknown status, and 1 died. The anatomic preference of golf-related craniocervical arterial dissection is associated with the extracranial and vertebrobasilar system with a right-sided tendency as the result of stereotypical rotational movement during a golf swing. |
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