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Neurological picture
Repetitive internal carotid artery compression of the hyoid: a new mechanism of golfer's stroke?
  1. Ji Man Hong1,
  2. Tae Jin Kim1,
  3. Jin Seok Lee2,
  4. Jin Soo Lee1
  1. 1Department of Neurology, Ajou University School of Medicine, Suwon, South Korea
  2. 2Department of Otolaryngology, Ajou University School of Medicine, Suwon, South Korea
  1. Correspondence to Dr J Man Hong, Department of Neurology, School of Medicine, Ajou University, 5 San, Woncheon-dong, Yongtong-gu, Suwon-si, Kyunggi-do, 442-749, South Korea; dacda{at}hanmail.net

https://doi.org/10.1136/jnnp.2010.213777

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    As golf grows in popularity, its related injuries have increased.1 Vertebral artery dissection is the most common mechanism of brainstem or cerebellar ischaemic stroke related to golf.1 2 Several studies have concluded that the underlying cause of the aforementioned entity is due to repetitive compression of the hyoid bone which can result in pseudoaneurysms and carotid artery stenosis.3 4 The following is a case report of recurrent cerebral infarctions in an amateur golfer that can be explained by repeated internal carotid artery (ICA) compression of the hyoid bone.

    A 56-year-old amateur golfer with 30 years of experience presented to the emergency room complaining of a sudden tingling sensation and numbness in his left …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.