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Cervical Arterial Dissections and Association With Cervical Manipulative Therapy: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association AHA/ASA Scientific Statement
Conclusions— CD is an important cause of ischemic stroke in young and middle-aged patients. CD is most prevalent in the upper cervical spine and can involve the internal carotid artery or vertebral artery. Although current biomechanical evidence is insufficient to establish the claim that CMT causes CD, clinical reports suggest that mechanical forces play a role in a considerable number of CDs and most population controlled studies have found an association between CMT and VAD stroke in young patients. Although the incidence of CMT-associated CD in patients who have previously received CMT is not well established, an...
Source: Stroke - September 22, 2014 Category: Neurology Authors: Biller, J., Sacco, R. L., Albuquerque, F. C., Demaerschalk, B. M., Fayad, P., Long, P. H., Noorollah, L. D., Panagos, P. D., Schievink, W. I., Schwartz, N. E., Shuaib, A., Thaler, D. E., Tirschwell, D. L., on behalf of the American Heart Association Strok Tags: AHA Statements and Guidelines AHA/ASA Scientific Statement Source Type: research

Stroke prevention by endovascular treatment of carotid and vertebral artery dissections
Conclusions Patients with CAD and VAD differ significantly in presentation, indications for treatment, and treatment methods. Endovascular treatment of CAD and VAD has low procedural morbidity and is associated with a low incidence of future stroke.
Source: Journal of NeuroInterventional Surgery - September 12, 2017 Category: Neurosurgery Authors: Moon, K., Albuquerque, F. C., Cole, T., Gross, B. A., McDougall, C. G. Tags: Ischemic stroke Source Type: research

Stroke Dysbiosis Index (SDI) in Gut Microbiome Are Associated With Brain Injury and Prognosis of Stroke
Conclusions: We developed an index to measure gut microbiota dysbiosis in stroke patients; this index was significantly correlated with patients' outcome and was causally related to outcome in a mouse model of stroke. Our model facilitates the potential clinical application of gut microbiota data in stroke and adds quantitative evidence linking the gut microbiota to stroke. Introduction Ischemic stroke imposes a heavy burden on society, with 24.9 million cases worldwide (1). Although intravenous thrombolysis and endovascular treatment greatly improve some patients' prognosis, the prognosis for most pa...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Differential Risk Factors and Outcomes of Ischemic Stroke due to Cervical Artery Dissection in Young Adults
Conclusions: While history of migraine and neck manipulation are significantly associated with CeAD, most of the traditional vascular risk factors for stroke are less prevalent in this group when compared to strokes due to other etiologies. For CeAD-related strokes, higher initial stroke severity and history of tobacco use may be associated with higher stroke-related disability, but overall, patients with CeAD have similar outcomes as compared to strokes due to other etiologies.Cerebrovasc Dis
Source: Cerebrovascular Diseases - September 25, 2020 Category: Neurology Source Type: research

Anemia in young patients with ischaemic stroke
ConclusionAnemia on admission was associated with stroke in CeAD patients and with more severe strokes in both study samples. Moderate to severe anemia may predict unfavorable outcome.
Source: European Journal of Neurology - February 24, 2015 Category: Neurology Authors: L. Kellert, M. Kloss, A. Pezzini, T. M. Metso, A. J. Metso, S. Debette, D. Leys, V. Caso, V. Thijs, A. Bersano, E. Touzé, T. Tatlisumak, H. Gensicke, P. A. Lyrer, J. Bösel, S. T. Engelter, C. Grond‐Ginsbach, Tags: Original Article Source Type: research

Ischemic Stroke And Cervical Artery Dissection. Risk Factors And Functional Outcome In a Single Tertiary Care Hospital: The Clinica Alemana Stroke Registry (RECCA), 1997-2003 (P3.111)
ConclusionsThe prognosis of ischemic stroke patients with cervical artery dissections is generally good. The only variable associated with a worse prognosis, was a high NIHSS at admission. This allows early identification of a group of patients who are at increased risk of significant disability at discharge.Disclosure: Dr. Diaz has nothing to disclose. Dr. Vicuña has nothing to disclose. Dr. Fernandez has nothing to disclose. Dr. Valenzuela has nothing to disclose. Dr. Lavados has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Diaz, V., Vicuna, M., Fernandez, J., Valenzuela, M., Lavados, P. Tags: Cerebrovascular Disease and Interventional Neurology: Large Vessel Nonatherosclerotic Arteriopathies Source Type: research

Ischemic Stroke in Young Adults Caused by Cervical Artery Dissection —A Retrospective Study
Conclusions Dissection of cervical or intracranial artery is an important cause of ischemic stroke, especially in young adults. Therefore, it should be considered in young adults with presentation of stroke who lack traditional and modifiable risk factors. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: International Journal of Angiology - December 31, 2021 Category: Cardiology Authors: Jazbec, Lucija Menih, Marija Arh, Rok Tags: Original Article Source Type: research

Cervical artery dissection: A common cause of stroke in young adults
Cervical artery dissection is a common cause of stroke in young adults and can lead to significant disability. Clinicians should be able to recognize the clinical presentation and diagnose this condition to prevent cerebral ischemia and its complications. Consider cervical artery dissection in a young adult with new-onset, unilateral head pain with or without neck pain with antecedent neck trauma, with or without neurologic deficits or risk factors for dissection. Early diagnosis can lead to better outcomes but the overall prognosis is good for young adults with cervical artery dissection.
Source: Journal of the American Academy of Physician Assistants - January 27, 2022 Category: Primary Care Tags: Review Article Source Type: research

Concomitant cervical spine fractures are the primary driver of disability after traumatic vertebral artery dissection: A Case series of 123 patients
Conclusion: tVADs may be associated with stroke and/or cervical fracture. Presenting symptoms predict stroke, but baseline demographic and clinical characteristics do not. Comorbid cervical fractures, not stroke, drive negative outcomes
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Michael Brendan Cloney Anastasios G Roumeliotis Hooman A Azad Nikil Prasad Nathan A Shlobin Benjamin S Hopkins Babak S Jahromi Matthew B Potts Nader S Dahdaleh Source Type: research

Surgical and radiological interventions for treating symptomatic extracranial cervical artery dissection
CONCLUSIONS: No RCTs or CCTs compared either surgery or endovascular therapy with control. Thus, there is no available evidence to support their use for the treatment of extracranial cervical artery dissection in addition to antithrombotic therapy in people who continue to have neurological symptoms when treated with antithrombotic therapy alone.PMID:34559418 | DOI:10.1002/14651858.CD013118.pub2
Source: Cochrane Database of Systematic Reviews - September 24, 2021 Category: General Medicine Authors: Niamh Hynes Edel P Kavanagh Sherif Sultan Fionnuala Jordan Source Type: research

A systematic review and meta-analysis of carotid artery stenting for the treatment of cervical carotid artery dissection
CONCLUSION: Both primary stenting and stenting of spontaneous CAD yielded unfavorable results regarding stent thrombosis and stroke rates. Conversely, stenting following FMT displayed acceptable mortality and complication rates corroborating the use of stenting in the setting of CAD as a second line treatment. Due to the low quality of the included studies, definite conclusions cannot be drawn necessitating further research.PMID:35961627 | DOI:10.1016/j.ejvs.2022.07.048
Source: PubMed: Eur J Vasc Endovasc ... - August 12, 2022 Category: Surgery Authors: Vangelis Bontinis Constantine N Antonopoulos Alkis Bontinis Andreas Koutsoumpelis Vassilios Zymvragoudakis Vasileios Rafailidis Argirios Giannopoulos Panagiotis Stoiloudis Kiriakos Ktenidis Source Type: research

Critical assessment of complications associated with use of the Pipeline Embolization Device
Conclusions Despite a low rate of permanent complications associated with the PED in this series, the total complication rate was high. This finding supports the conclusion that this device should be reserved for the most challenging aneurysms. Patients should be advised of this higher rate of transient periprocedural complications. Trial registration number IRB#:14BN027 Q7.
Source: Journal of NeuroInterventional Surgery - August 12, 2015 Category: Neurosurgery Authors: Park, M. S., Albuquerque, F. C., Nanaszko, M., Sanborn, M. R., Moon, K., Abla, A. A., McDougall, C. G. Tags: Hemorrhagic stroke, New devices Source Type: research

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