Vertebral artery dissection and high-intensity workouts.

This case describes a 59-year-old athletic man who developed a lateral medullary stroke from a vertebral artery dissection after a CrossFit-style overhead lifting workout. The patient presented for dysarthria and a right-sided facial droop upon wakening. A secondary evaluation of the computed tomography angiogram, in corroboration with exercise history obtained much later, led to the diagnosis of right vertebral artery dissection. Cerebral artery dissection is commonly seen following exercise-induced trauma.