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Increased Risk of Stroke Among Young Adults With Serious Traumatic Brain Injury
Conclusions: These findings add to a growing body of work demonstrating that the acute and postacute stages of TBI play an accelerative role in AIS risk, particularly among younger patients, cervical artery dissection, and serious TBI.
Source: The Journal of Head Trauma Rehabilitation - May 1, 2020 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

Reversible Cerebral Vasoconstriction Syndrome and Dissection in the Setting of COVID-19 Infection
The current COVID-19 pandemic has recently brought to attention the myriad of neuro- logic sequelae associated with Coronavirus infection including the predilection for stroke, particularly in young patients. Reversible cerebral vasoconstriction syndrome (RCVS) is a well-described clinical syndrome leading to vasoconstriction in the intracra- nial vessels, and has been associated with convexity subarachnoid hemorrhage and oc- casionally cervical artery dissection. It is usually reported in the context of a trigger such as medications, recreational drugs, or the postpartum state; however, it has not been described in COVID-19 infection.
Source: Journal of Stroke and Cerebrovascular Diseases - June 4, 2020 Category: Neurology Authors: Katarina Dakay, Gurmeen Kaur, Edwin Gulko, Justin Santarelli, Christian Bowers, Stephan A Mayer, Chirag D Gandhi, Fawaz Al-Mufti Tags: Case Report Source Type: research

“COVID-19 and cervical artery dissection- A causative association?”
COVID-19 is a pandemic disease which predominantly affects the respiratory system, however it also causes multi-organ dysfunction in a subset of patients. There is a growing evidence that it increases the propensity of strokes in younger patients. Besides producing a prothrombotic state, arterial dissection could be one of its many manifestations, increasing the risks of stroke. Herein, we report the first case of spontaneous bilateral vertebral artery dissection in a patient with COVID-19. 39-year female presented with spontaneous bilateral vertebral artery dissections without any instigating traumatic events and no histo...
Source: Journal of Stroke and Cerebrovascular Diseases - June 12, 2020 Category: Neurology Authors: Pratit Patel, Priyank Khandelwal, Gaurav Gupta, Amit Singla Source Type: research

Cervical Artery Dissection Caused by Electrical Cupping Therapy with High-Negative Pressure – Case Report
Cervical artery dissection is an important cause of stroke in the young. The etiology is still discussed controversial. The most obvious reason for a dissection of extracranial arteries is due to a trauma, eg. after car accidents or other high speed traumas such as high-velocity road traffic accidents. Besides these clear cases, chiropractic neck maneuvers represent potential reasons for vessel injuries. Case presentation: We here report a rare case of secondary cervical artery dissection after so-called cupping therapy and a preventive treatment with a direct oral anticoagulant.
Source: Journal of Stroke and Cerebrovascular Diseases - August 17, 2020 Category: Neurology Authors: Fr édéric Zuhorn, Wolf-Rüdiger Schäbitz, Christian Oelschläger, Randolf Klingebiel, Andreas Rogalewski Tags: Case Report Source Type: research

Influenza-Like Illness is Associated with Increased Short-Term Risk of Cervical Artery Dissection
Non-traumatic Cervical Artery Dissection (CeAD) is a leading cause of ischemic stroke in the young. Influenza-like illnesses (ILI) trigger ischemic strokes. We hypothesized that influenza and ILI are associated with CeAD.
Source: Journal of Stroke and Cerebrovascular Diseases - November 27, 2020 Category: Neurology Authors: Madeleine D. Hunter, Yeseon P. Moon, Eliza C. Miller, Erin R. Kulick, Amelia K. Boehme, Mitchell SV Elkind Source Type: research

Vertebral Artery Tortuosity and Morphometric Characteristics of Patients with Recurrent Cervical Artery Dissection
Cervical Artery Dissection is an important cause of stroke in the young. Data on incidence and associations of recurrence in patients with cervical artery dissection are lacking. Increased Vertebral Artery Tortuosity Index has been reported in patients with cervical artery dissection and associated with earlier age of arterial dissection in patients with connective tissue disease.
Source: Journal of Stroke and Cerebrovascular Diseases - February 19, 2022 Category: Neurology Authors: JA Narrett, CM Aldridge, J Garrett, B Abdalla, J Donahue, BB Worrall, AM Southerland Tags: Short Communication Source Type: research

Cervical Artery Dissection in Postpartum Women after Cesarean and Vaginal Delivery
Cervical artery dissections (CAD) are a disruption of the vessel wall, defined by the presence of a mural haematoma within the arterial layers.1 Although its incidence ranges from 1 to 2.6 per 100,000 patients per year,2 it is a common cause of stroke in young adults, accounting for up to 25% of ischemic strokes in this group.3,4
Source: Journal of Stroke and Cerebrovascular Diseases - June 16, 2022 Category: Neurology Authors: Francisca Urrutia, Enrico Mazzon, Alejandro Brunser, Violeta Diaz, Juan Francisco Calderon, Ximena Stecher, Tomas Bernstein, Paulo Zu ñiga, Andrea Schilling, Paula Muñoz Venturelli Tags: Short Communication Source Type: research

Angiographical Identification of Intracranial, Atherosclerosis-Related, Large Vessel Occlusion in Endovascular Treatment
Conclusions Among only a few identification methods, the ICAS-LVO can be feasibly identified by angiographical findings. The identification of ICAS-LVO based on based on occlusion type, is a reliable and practical identification method for ICAS-LVO. Procedural details by occlusion type and its predictability to endovascular results were reported. Furthermore, occlusion type can be determined before or in the early stages of the procedure, which may be most helpful in setting up an optimal endovascular treatment strategy. Author Contributions J-HB established the study idea, designed the manuscript structure, acquired an...
Source: Frontiers in Neurology - April 15, 2019 Category: Neurology Source Type: research

Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection (CADISS): a randomised trial
Publication date: Available online 12 February 2015 Source:The Lancet Neurology Background Extracranial carotid and vertebral artery dissection is an important cause of stroke, especially in young people. In some observational studies it has been associated with a high risk of recurrent stroke. Both antiplatelet drugs and anticoagulant drugs are used to reduce risk of stroke but whether one treatment strategy is more effective than the other is unknown. We compared their efficacy in the Cervical Artery Dissection in Stroke Study (CADISS), with the additional aim of establishing the true risk of recurrent stroke. Methods W...
Source: The Lancet Neurology - February 13, 2015 Category: Neurology Source Type: research

Greater Risk for Decompressive Craniectomy in Large-artery Strokes Due to Cervical Artery (P1.013)
CONCLUSIONS: Among young and middle-aged stroke patients, CeAD may be a higher risk for decompressive craniectomy compared to other large-artery stroke types. This association may be mediated by stroke severity, but further analysis is ongoing.Disclosure: Dr. Surakiatchanukul has nothing to disclose. Dr. Koskey has nothing to disclose. Dr. McMurry has nothing to disclose. Dr. Grider has nothing to disclose. Dr. Currie has nothing to disclose. Dr. Turner has nothing to disclose. Dr. Worrall has received personal compensation in an editorial capacity for Neurology. Dr. Worrall has received royalty payments from Merritt's Neu...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Surakiatchanukul, T., Koskey, G., McMurry, T., Grider, R., Currie, L., Turner, H., Worrall, B., Southerland, A. Tags: Cerebrovascular Disease and Interventional Neurology I ePosters Source Type: research

Serum Neurofilament Light Chain Levels Are Associated with Clinical Characteristics and Outcome in Patients with Cervical Artery Dissection
Conclusion: sNfL levels were increased in CeAD patients presenting with stroke, correlated with clinical severity and were influenced by the time point of blood sampling. The prognostic meaning of sNfL in CeAD deserves further testing.Cerebrovasc Dis 2015;40:222-227
Source: Cerebrovascular Diseases - September 30, 2015 Category: Neurology Source Type: research

Elevated peripheral leukocyte counts in acute cervical artery dissection
ConclusionsAcute CeAD was associated with particularly high WBC counts. Leukocytosis may reflect a pre‐existing inflammatory state, supporting the link between inflammation and CeAD.
Source: European Journal of Neurology - June 12, 2013 Category: Neurology Authors: C. Grond‐Ginsbach, A. Giossi, S. S. Aksay, S. T. Engelter, P. A. Lyrer, T. M. Metso, A. J. Metso, T. Tatlisumak, S. Debette, D. Leys, V. Thijs, A. Bersano, S. Abboud, M. Kloss, C. Lichy, A. Grau, A. Pezzini, E. Touzé, Tags: Original Article Source Type: research

Helsinki experience on nonvitamin K oral anticoagulants for treating cervical artery dissection
ConclusionsIn this small, consecutive single‐center patient sample treating ischemic stroke patients with CeAD with NOACs did not bring up safety concerns and resulted in similar, good outcomes compared to patients using VKAs. Clinical, radiological, and outcome data in few stroke patients with cervical arterial dissection using nonvitamin K oral anticoagulants had no safety or efficacy concerns, having a good recanalization rate and outcome.
Source: Brain and Behavior - May 1, 2015 Category: Neurology Authors: Satu Mustanoja, Tiina M. Metso, Jukka Putaala, Noora Heikkinen, Elena Haapaniemi, Oili Salonen, Turgut Tatlisumak Tags: Original Research 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

Cervical Artery Dissection in Patients of African Ancestry
Conclusion: AA patients represent a smaller proportion of CeAD cases compared to young stroke cases at our center. AA patients suffering CeAD have higher prevalence of both vascular risk factors and frequency of the CeAD risk allele compared to EA patients. These findings suggest a complex interplay between traditional vascular risk factors and genetic predisposition underlying CeAD pathogenesis. Further prospective research is needed to clarify these associations and disparities.Cerebrovasc Dis 2018;46:218 –222
Source: Cerebrovascular Diseases - December 5, 2018 Category: Neurology Source Type: research

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