Life-threatening neurovascular injuries associated with recreational use of "banana" boats

José E. Cohen, Samuel Moscovici, Guy Rosenthal, Mony Benifla, Eyal Itshayek

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Banana boat rides are a popular form of recreation worldwide. Recommendations that speed should not exceed 15 mph, passengers should wear protective gear, and an observer should be present on the towing boat are generally ignored. Medical personnel at tourist venues and general practitioners may not be attuned to the risk of serious injury. We present our experience in the management carotid- and vertebral artery dissections sustained by 44- and 23-year-old males during banana boat rides. In both cases, the dissections were misdiagnosed until patients presented to the Emergency Department two days after injury. In the first patient, medical management failed and endovascular treatment was required due to neurological deterioration. In patient two, anticoagulation therapy prevented embolic sequelae. Boat operators, passengers, and the medical personnel who are first to see these patients should be aware of the risk of arterial dissection to facilitate early detection of these potentially life-threatening injuries.

Original languageEnglish
Pages (from-to)1323-1325
Number of pages3
JournalJournal of Clinical Neuroscience
Issue number9
StatePublished - 1 Sep 2012
Externally publishedYes


  • Carotid dissection
  • Head trauma
  • Ischemic stroke
  • Vertebral artery dissection
  • Watersport injury

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)


Dive into the research topics of 'Life-threatening neurovascular injuries associated with recreational use of "banana" boats'. Together they form a unique fingerprint.

Cite this