Document Detail


Cryptogenic stroke associated with patent foramen ovale in a collegiate volleyball athlete: a case report.
MedLine Citation:
PMID:  23015966     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Cryptogenic stroke is a form of cerebral vascular accident that has an unknown origin and is rarely associated with patent foramen ovale (PFO) and migraine headaches. This is an uncommon occurrence in young, healthy, active adults, and it is increasingly rare for the episode to occur during an athletic competition. Stroke is easily recognizable with its distinct signs and symptoms, but it is also easily confused with many of its differential diagnoses, such as seizures or head trauma, if the episode occurs during an athletic competition. This case report describes the stroke episode, incidence of migraine headaches, diagnostic testing, and surgical management of a college female volleyball athlete who suffered a cryptogenic stroke associated with PFO during an athletic competition. Diagnostic testing included magnetic resonance imaging with contrast, electroencephalograph, lower extremity Doppler testing, and a transesophageal echocardiograph with agitated saline study. Surgical correction of the PFO included a cardiac catheterization percutaneous procedure based on fluoroscopic and echocardiograph imaging. After release from physicians, the athlete returned to full participation in the sport of volleyball, where she competed for the next 2 years without complications. The patient has reported no symptoms from stroke or PFO closure procedure in 3 years, and migraine headaches have decreased in severity, frequency, and duration.
Authors:
Aimee Miyazawa; Phillip Vardiman; Lawrence M Magee; Erin Washington
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sports health     Volume:  2     ISSN:  1941-7381     ISO Abbreviation:  Sports Health     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2012-09-27     Completed Date:  2012-09-28     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101518422     Medline TA:  Sports Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  395-7     Citation Subset:  -    
Affiliation:
University of Kansas Athletic Department, Lawrence, Kansas.
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