Abstract Details

Title BodyPump Training Associated Vertebral Artery Dissection - An Unreported Complication

Topic Sports Neurology

Presentation(s) P1 - Poster Session 1 (9:00 AM-5:00 PM)

Poster/Presentation
Number 353

Objective BodyPump training associated vertebral artery dissection can be another potential etiology for cervico-cerebral arterial dissection and to our knowledge is the first case reported.

Background BodyPump is a high repetition low weight program practiced across the world. As a high intensity interval workout it aims to enhance muscle endurance.

Design/Methods A 33 year old woman has been doing trainer supervised BodyPump workout for 8 months. She recently started doing a longer duration (60 minutes twice a day) and more intense workout, (50 lbs weights). She had her usual class and while doing a bar raise, she felt a pop within her shoulder blades but nevertheless, completed her 60 minute class. Walking back home she felt warmth behind her neck and ear that persisted after icepack and cold shower. Within 30 minutes of the class, she became disoriented and started vomiting. She was taken to the emergency department where a neck CT angiogram (CTA) showed a left V1-V3 occlusion consistent with dissection without brain MRI cerebral infarction. She was started on heparin drip. On hospitalization day three she developed sudden onset quadriparesis, slurred speech, nystagmus, blurry vision, right facial droop and decreased consciousness. She was intubated for airway protection and taken for an urgent CTA that showed basilar artery occlusion. She underwent a successful mechanical thrombectomy with TICI 3 flow as well as placement of two wingspan stents in the left vertebral artery. She was started on Aspirin 325 mg and Clopidogrel 75 mg and was discharged home with mild left hand weakness. On one year follow-up, she was on aspirin monotherapy showing improvement in her strength. She never resumed BodyPump training.

Results N/A

Conclusions A regular exercise program is strongly recommended for optimal health. The reader is encouraged to maintain a high index of suspicion for arterial dissection associated to high intensity interval training.

Authors/Disclosures
Nurose Karim, MD (ECU Health Medical Center) PRESENTER	Dr. Karim has nothing to disclose.
Mark D. Johnson, MD (UT Southwestern Medical Center)	Dr. Johnson has nothing to disclose.

��ɫ��

��ɫ��