Barbell Medicine Podcast Episode #351: Trouble on The Tee Box
5 snips
Jun 6, 2025 A medical mystery unfolds as the hosts analyze a 38-year-old man's acute headache and other alarming symptoms after a round of golf. Listeners are invited to engage in diagnosing alongside them. The discussion shifts to the challenges of juggling medical responsibilities, unveiling new bodybuilding resources and nutrition insights. A complex case reveals the nuances of diagnosing dizziness and an uncoordinated gait, while a grave discussion on vertebral artery dissection emphasizes the dangers of delayed imaging in medical emergencies.
AI Snips
Chapters
Transcript
Episode notes
Golf Triggered Acute Symptoms
- A 38-year-old man playing golf suddenly experienced severe head pain, dizziness, and vomiting after hitting his drive hard.
- His past neck injuries from football and wrestling likely contributed to this acute event.
Thunderclap Headache Signals Vascular Issue
- Sudden onset severe headache and neurological symptoms often signify vascular problems like vessel rupture or dissection.
- Vertebral artery dissection is a leading concern when symptoms localize to the back of the head and neck with associated neurological deficits.
Neurology Localizes Stroke Source
- Neurological signs like nystagmus and coordination problems point to posterior circulation involvement, implicating vertebral arteries.
- Sudden neurological deficits in a young adult without cardiovascular risk factors strongly suggest stroke from vascular injury like dissection.