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Pain after Cervical Artery Dissection (P4.381)
Conclusions: Chronic pain or new pain development is frequent after spontaneous CAD. Recognition of clinical factors that predict chronic pain could help clinicians manage pain in CAD patients more effectively.Disclosure: Dr. Youn has nothing to disclose. Dr. Prabhakaran has received personal compensation for activities with the American Heart Association.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Youn, J., Prabhakaran, S. Tags: Non-Atherosclerotic Arteriopathies Source Type: research

Non-traumatic vertebral artery dissection presenting with unilateral cervical pain, hemilateral vision problems and headache.
We report a case of a non-traumatic vertebral artery dissection in a 30-year-old woman. Our patient presented with unilateral right-sided neck pain and frontal headache during 3 weeks and recently developed right-sided vision problems. History and clinical findings were non-specific. Neurovascular imaging showed a right-sided vertebral artery dissection from C2 to C6 with an intima flap at C5-C6. The patient was observed in the stroke unit for 1 week and antithrombotics were given during 3 months. There was a complete revascularization of the vertebral artery after 3 months. A review of literature is given concerning p...
Source: Acta Chirurgica Belgica - July 7, 2016 Category: Surgery Tags: Acta Chir Belg Source Type: research

The Bizarre Side Effect 1 In 100 People Experience During Sex
For SELF, by Zahra Barnes. As your sexual arousal ramps up on the trippy journey to orgasm, pleasure is probably the only thing on your mind. Unfortunately, for some people, pain interrupts the party. At least one percent of adults experience coital cephalalgia, or “sex headaches,” aka head pain that occurs before, during, or after orgasm. Here’s what you need to know about this condition, which is basically the unpleasant epitome of a buzzkill. Mayo Clinic spotlights two kinds of sex headaches. The first is “a dull ache in the head and neck that intensifies as sexual excitement increases,” a...
Source: Healthy Living - The Huffington Post - March 15, 2017 Category: Consumer Health News Source Type: news

Intracranial and Extracranial Neurovascular Manifestations of Takayasu Arteritis ADULT BRAIN
CONCLUSIONS: Intracranial vascular abnormalities in patients with Takayasu arteritis presenting with neurologic symptoms are not rare, with cerebral vasculitis seen in 7.8% of patients, and stroke secondary to large-vessel occlusion, in 3.9% of patients. Cervical vascular manifestations of Takayasu arteritis were present in most patients in our study.
Source: American Journal of Neuroradiology - April 11, 2017 Category: Radiology Authors: Bond, K. M., Nasr, D., Lehman, V., Lanzino, G., Cloft, H. J., Brinjikji, W. Tags: ADULT BRAIN Source Type: research

Intracranial and Extracranial Neurovascular Manifestations of Takayasu Arteritis (P6.255)
Conclusions:Intracranial vascular abnormalities in TA patients presenting with neurological symptoms are not rare, with cerebral vasculitis seen in 7.8% of patients and stroke secondary to large vessel occlusion in 3.9% of patients. Cervical vascular manifestations of TA were present in the majority of patients in our study.Disclosure: Dr. Bond has nothing to disclose. Dr. Nasr has nothing to disclose. Dr. Lehman has nothing to disclose. Dr. Lanzino has nothing to disclose. Dr. Cloft has received personal compensation for activities with Medtronic Inc. Dr. Cloft has received personal compensation in an editorial capacity f...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Bond, K., Nasr, D., Lehman, V., Lanzino, G., Cloft, H., Brinjikji, W. Tags: Non-Atherosclerotic Angiopathies and Cerebral Venous Thrombosis Source Type: research

Cerebrovascular disease: CeAD and migraine — an association built on shifting sands
Nature Reviews Neurology 13, 261 (2017). doi:10.1038/nrneurol.2017.55 Authors: Caspar Grond-Ginsbach & Manja Kloss A growing body of evidence indicates that people with migraine have an increased risk of cervical artery dissection (CeAD). A new study in young patients with ischaemic stroke has identified a specific link between CeAD and migraine without aura.
Source: Nature Reviews Neurology - April 18, 2017 Category: Neurology Authors: Caspar Grond-Ginsbach Manja Kloss Tags: News and Views Source Type: research

Recognition of patients presenting with or at risk of craniocervical arterial dissection: Preliminary results of a prospective study
Background: Craniocervical arterial dissection (CAD) is a common cause of stroke in young people which in rare cases has been associated with cervical manipulative therapy. The mechanism is considered to involve pre-existing arterial susceptibility and a precipitating event. Pre-manipulative screening tests are limited in their ability to identify those at risk. In particular one difficulty is that the early features of CAD can mimic a painful musculoskeletal presentation and a patient may present for treatment of neck pain and headache with a dissection in progress.
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: L. Thomas, J. Attia, C. Levi, D. Rivett Source Type: research

Extracranial Cervical Artery Dissections
Cervical artery dissections (CeAD) include both internal carotid and vertebral artery dissections. They are rare but important causes of stroke, especially in younger patients. CeAD should be considered in patients with strokelike symptoms, a new-onset headache and/or neck pain, and/or other risk factors. Early imaging with computed tomography (CT) or magnetic resonance imaging (MRI) is key to making the diagnosis. Treatment may vary depending on the extent of the dissection, timing of the dissection, and other comorbidities. The overall prognosis is good, but does depend on the initial severity of symptoms.
Source: Emergency Medicine Clinics of North America - August 23, 2017 Category: Emergency Medicine Authors: Jennifer J. Robertson, Alex Koyfman Source Type: research

Extracranial Cervical Artery Dissections.
Abstract Cervical artery dissections (CeAD) include both internal carotid and vertebral artery dissections. They are rare but important causes of stroke, especially in younger patients. CeAD should be considered in patients with strokelike symptoms, a new-onset headache and/or neck pain, and/or other risk factors. Early imaging with computed tomography (CT) or magnetic resonance imaging (MRI) is key to making the diagnosis. Treatment may vary depending on the extent of the dissection, timing of the dissection, and other comorbidities. The overall prognosis is good, but does depend on the initial severity of sympto...
Source: The Medical Clinics of North America - October 12, 2017 Category: General Medicine Authors: Robertson JJ, Koyfman A Tags: Emerg Med Clin North Am Source Type: research

Yield of Computed Tomography (CT) Angiography in Patients with Acute Headache, Normal Neurological Examination, and Normal Non Contrast CT: A Meta-Analysis
Patients with acute severe headache, normal neurological examination, and a normal noncontrast head computed tomography (NCCT) may still have subarachnoid hemorrhage, cerebral venous thrombosis (CVT), cervical arterial dissection, or reversible cerebral vasoconstriction syndrome (RCVS). Computed tomography angiography (CTA) is used increasingly in the emergency department for evaluating this, but its added value remains controversial.
Source: Journal of Stroke and Cerebrovascular Diseases - December 22, 2017 Category: Neurology Authors: Imanda M.E. Alons, Ben F.J. Goudsmit, Korne Jellema, Marianne A.A. van Walderveen, Marieke J.H. Wermer, Ale Algra Source Type: research

Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report.
We report a case of a 49-year-old industrial vehicles mechanic who was projected to the ground by the explosion of the tire of a heavy truck he was inflating. In the following hours he presented various neurological signs and symptoms and was admitted to the Emergency Department. During hospitalization the patient underwent clinical and instrumental investigations with AngioCT and MR finding of left internal carotid artery dissection in correspondence of its cervical segment and three acute ischemic lesions in the left temporal, parietal and occipital lobes. Medical management was successful and the patient was discharged ...
Source: Medicina del Lavoro - November 1, 2018 Category: Occupational Health Tags: Med Lav Source Type: research

Imaging of Carotid Dissection
AbstractPurpose of ReviewHere, we describe the four primary imaging modalities for identification of carotid artery dissection, advantages, limitations, and clinical considerations. In addition, imaging characteristics of carotid dissection associated with each modality will be described.Recent FindingsRecent advances in etiopathogenesis describe the genetic factors implicated in cervical artery dissection. MRI/MRA (magnetic resonance angiography) with fat suppression is regarded as the best initial screening test to detect dissection. Advances in magnetic resonance imaging for the diagnosis of dissection include the use o...
Source: Current Pain and Headache Reports - January 19, 2019 Category: Neurology Source Type: research

Standard Diffusion-Weighted Imaging in the Brain Can Detect Cervical Internal Carotid Artery Dissections EXTRACRANIAL VASCULAR
CONCLUSIONS: In our cohort, a standard DWI sequence performed on the brain at the acute phase of a stroke or for a clinical suspicion of dissection detected nearly 90% of cervical ICA dissections.
Source: American Journal of Neuroradiology - February 11, 2020 Category: Radiology Authors: Adam, G., Darcourt, J., Roques, M., Ferrier, M., Gramada, R., Meluchova, Z., Patsoura, S., Viguier, A., Cognard, C., Larrue, V., Bonneville, F. Tags: EXTRACRANIAL VASCULAR Source Type: research

Review on the Diagnosis and Treatment of Reversible Cerebral Vasoconstriction Syndrome in Children and Adolescents
Semin Neurol DOI: 10.1055/s-0040-1702942Reversible cerebral vasoconstriction syndrome (RCVS) is a clinical–radiologic diagnosis that affects children and adolescents, but it is much more frequently reported in adults. Clinically, patients present with severe and commonly recurrent thunderclap headaches. Typical precipitating triggers include vasoactive substances, serotonergic agents, and the postpartum period. There may be associated neurologic complications at presentation or in the weeks following, such as convexity subarachnoid hemorrhage, stroke, cerebral edema, cervical artery dissection (CeAD), and seizures. Angio...
Source: Seminars in Neurology - February 19, 2020 Category: Neurology Authors: Qubty, William Irwin, Samantha Lee Fox, Christine K. Tags: Review Article Source Type: research

Clinical Features of Patients With Cervical Artery Dissection and Fibromuscular Dysplasia
A retrospective review of the multicenter IPSYS CeAD (Italian project on stroke in young adults cervical artery dissection) study was performed from January 2000 to June 2019.
Source: Journal of Vascular Surgery - June 23, 2021 Category: Surgery Authors: S. Bonacina, M. Grassi, M. Zedde, A. Zini, A. Bersano, C. Gandolfo Tags: Fibromuscular dysplasia and migraine headaches predict recurrent spontaneous cervical artery dissection Source Type: research

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