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Procedure: Cervical Discectomy

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Total 171 results found since Jan 2013.

Genetic Imbalance in Patients with Cervical Artery Dissection.
CONCLUSION: The findings suggest that rare genetic imbalance affecting cardiovascular system development may contribute to the risk of CeAD. Validation of these findings in independent study populations is warranted. PMID: 28367076 [PubMed - in process]
Source: Current Genomics - April 4, 2017 Category: Genetics & Stem Cells Tags: Curr Genomics Source Type: research

Cervical artery dissection in patients >=60 years: Often painless, few mechanical triggers
Conclusion: In our study population of patients diagnosed with CeAD, 1 in 14 was aged ≥60 years. In these patients, pain and mechanical triggers might be missing, rendering the diagnosis more challenging and increasing the risk of missed CeAD diagnosis in older patients.
Source: Neurology - April 3, 2017 Category: Neurology Authors: Traenka, C., Dougoud, D., Simonetti, B. G., Metso, T. M., Debette, S., Pezzini, A., Kloss, M., Grond-Ginsbach, C., Majersik, J. J., Worrall, B. B., Leys, D., Baumgartner, R., Caso, V., Bejot, Y., Compter, A., Reiner, P., Thijs, V., Southerland, A. M., Ber Tags: Stroke in young adults, All Cerebrovascular disease/Stroke, Carotid artery dissection ARTICLE 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

Stenting of the cervical internal carotid artery in acute stroke management: The Karolinska experience.
Conclusions Our single-centre retrospective analysis of emergency stent placement in the extracranial internal carotid artery in combination with anterior circulation thrombectomy demonstrated high technical success, reasonable clinical outcomes and acceptable rates of symptomatic intracranial haemorrhage in carefully chosen patients which are triaged interdisciplinary based on clinical and computed tomography imaging criteria. This warrants further study in a randomised prospective trial. PMID: 28304205 [PubMed - in process]
Source: Interventional Neuroradiology - March 20, 2017 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Migraine Linked to Stroke Caused by Cervical Artery Dissection (FREE)
By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Migraine is associated with risk for stroke caused by cervical artery dissection, according to a JAMA Neurology study.Using a large Italian stroke …
Source: Physician's First Watch current issue - March 6, 2017 Category: Primary Care Source Type: news

Association Between Migraine and Cervical Artery Dissection
This cohort study examines the association between migraine and ischemic stroke due to cervical artery dissection in young patients with ischemic stroke.
Source: JAMA Neurology - March 6, 2017 Category: Neurology Source Type: research

“Phacing” a New Cause of Carotid Artery Dissection
Conclusions: Noteworthy, among vascular abnormalities of PHACE, CADs have never been reported before. Our 2 cases suggest that CAD is an underecognized cerebrovascular manifestation of PHACE and it should be searched for in these patients. Ultrasound, being noninvasive and portable, is a useful tool for the assessment and follow-up of these patients.
Source: The Neurologist - March 1, 2017 Category: Neurology Tags: Case Report/Case Series Source Type: research

Timing of Incident Stroke Risk After Cervical Artery Dissection Presenting Without Ischemia Clinical Sciences
Conclusions—The risk of stroke after cervical artery dissection unaccompanied by ischemia at time of diagnosis seems to be limited to the first 2 weeks.
Source: Stroke - February 26, 2017 Category: Neurology Authors: Nicholas A. Morris, Alexander E. Merkler, Gino Gialdini, Hooman Kamel Tags: Risk Factors, Cerebrovascular Disease/Stroke, Ischemic Stroke Original Contributions Source Type: research

Prognosis of carotid dissecting aneurysms: Results from CADISS and a systematic review
Conclusions: The results of CADISS provide evidence suggesting that DAs may have benign prognosis and therefore medical treatment should be considered.
Source: Neurology - February 12, 2017 Category: Neurology Authors: Larsson, S. C., King, A., Madigan, J., Levi, C., Norris, J. W., Markus, H. S. Tags: Carotid artery dissection ARTICLE Source Type: research

Risk of Carotid Stroke after Chiropractic Care: A Population-Based Case-Crossover Study
Chiropractic manipulation is a popular treatment for neck pain and headache, but may increase the risk of cervical artery dissection and stroke. Patients with carotid artery dissection can present with neck pain and/or headache before experiencing a stroke. These are common symptoms seen by both chiropractors and primary care physicians (PCPs). We aimed to assess the risk of carotid artery stroke after chiropractic care by comparing association between chiropractic and PCP visits and subsequent stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - November 20, 2016 Category: Neurology Authors: J. David Cassidy, Eleanor Boyle, Pierre C ôté, Sheilah Hogg-Johnson, Susan J. Bondy, Scott Haldeman Source Type: research

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? No
The purported relationship between cervical manipulative therapy (CMT) and stroke related to vertebral artery dissection (VAD) has been debated for several decades. A large number of publications, from case re...
Source: Chiropractic and Osteopathy - November 5, 2016 Category: Complementary Medicine Authors: Donald R. Murphy, Michael J. Schneider, Stephen M. Perle, Christopher G. Bise, Michael Timko and Mitchell Haas Source Type: research

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? Yes
For patients and health care providers who are considering spinal manipulative therapy of the neck, it is crucial to establish if it is a trigger for cervical artery dissection and/or stroke, and if it is, the...
Source: Chiropractic and Osteopathy - November 5, 2016 Category: Complementary Medicine Authors: Jessica K. Paulus and David E. Thaler Source Type: research

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? No
ConclusionCurrent evidence does not support the notion that misclassification threatens the validity of recent case –control studies investigating the relationship between CMT and VAD. Hence, the recent re-analysis cannot refute the conclusion from previous studies that CMT is not a cause of VAD.
Source: Chiropractic and Manual Therapies - November 4, 2016 Category: Complementary Medicine Source Type: research

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? Yes
ConclusionThere are several methodological challenges to understanding the association between neck manipulation and vertebral artery dissection. Addressing these issues is critical because even a modest association between neck manipulation and cervical artery dissection could translate into a significant number of avoidable dissections given the widespread use of neck manipulation by providers from various backgrounds. We believe that valid case classification, accurate measurement of manipulative procedures, and addressing reverse causation bias should be top priorities for future research.
Source: Chiropractic and Manual Therapies - November 4, 2016 Category: Complementary Medicine Source Type: research

Clinical Presentation, Magnetic Resonance Angiography, Ultrasound Findings, and Stroke Patterns in Patients with Vertebral Artery Dissection
Background/Aims: Vertebral artery dissection (VAD) is an important cause of ischemic stroke. In this observational study, clinical data, magnetic resonance (MR) and ultrasound (US) imaging findings and ischemic patterns were analyzed.Methods: Forty-seven patients with a diagnosis of VAD underwent clinical examination, US, MR of the brain and neck and MR angiography (MRA) of the cervical arteries. Vascular abnormalities and ischemic brain lesions were noted. Data were evaluated separately and compared for spontaneous and traumatic VAD subgroups.Results: The most common overall clinical symptom was vertigo followed by neck p...
Source: European Neurology - October 31, 2016 Category: Neurology Source Type: research