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Internal carotid and vertebral artery dissections - a comparison of clinical, radiological and prognostic characteristics.
CONCLUSIONS AND CLINICAL IMPLICATIONS: In a series of patients with CeAD, we observed significant differences between VAD and ICAD in terms of clinical symptoms and radiological features. PMID: 33047785 [PubMed - as supplied by publisher]
Source: Neurologia i Neurochirurgia Polska - October 13, 2020 Category: Neurology Authors: Kos J, Kos M, Jaworski J, Petit V, Wojtal K, Rejdak K Tags: Neurol Neurochir Pol Source Type: research

Vertebral Artery Dissection in a Woman Due to Golf: An Under Recognized Etiology
Conclusion: This patient is the first woman in the literature to suffer from VAD as a result of playing golf. The twisting motion of the head and neck in a golf swing may be a risk factor for dissection and subsequent development of stroke. As a result of increased female participation in golf, we expect to see increased incidence of women presenting with “golfer’s stroke” in coming years.
Source: The Neurologist - July 1, 2021 Category: Neurology Tags: Case Report/Case Series Source Type: research

Antiplatelet vs. Anticoagulation in Cervical Artery Dissection: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Conclusions: Compared with the antiplatelet group, the anticoagulation group has a lower risk of ischemic stroke without increasing bleeding risk when treating CAD. Anticoagulation seems to be superior over the antiplatelet in treating CAD but needs to be further tested by specifying several issues, such as location, initial symptom types, and treatment protocols.
Source: Frontiers in Neurology - November 24, 2021 Category: Neurology Source Type: research

High Frequency of Incidental Angiographic Abnormalities in RCVS: Implications For Pathophysiology? (P03.164)
CONCLUSIONS: RCVS is associated with a high frequency of angiographic abnormalities such as cerebral artery dissection. Further studies are warranted to determine whether these reflect a subtle underlying structural abnormality that lowers the threshold for RCVS.Disclosure: Dr. Kursun has nothing to disclose. Dr. Singhal has received personal compensation as an expert witness in medicolegal cases involving stroke in young adults. Dr. Singhal's wife is an employee of Vertex Pharmaceuticals, Inc. Dr. Singhal has received research support from Pfizer and Photothera, Inc.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Kursun, O., Singhal, A. Tags: P03 Cerebrovascular Disease III Source Type: research

Reversible cerebral vasoconstriction syndrome and cervical artery dissection in 20 patients
Conclusion: The association of RCVS and CeAD was found in 12% of our patients with RCVS and 7% of our patients with CeAD. Underlying mechanisms are unknown. In practice, our results point to the need for a systematic study of both cervical and intracranial arteries in the 2 conditions.
Source: Neurology - August 26, 2013 Category: Neurology Authors: Mawet, J., Boukobza, M., Franc, J., Sarov, M., Arnold, M., Bousser, M.-G., Ducros, A. Tags: Secondary headache disorders, Stroke in young adults, Carotid artery dissection, Subarachnoid hemorrhage ARTICLE Source Type: research

Styloid and Hyoid Bone Proximity Is a Risk Factor for Cervical Carotid Artery Dissection Clinical Sciences
Conclusions— Shorter distances between the styloid and ICA (and possibly also the hyoid and the ICA) are important risk factors for CAD. Further study is needed to determine whether dissections result from direct injury to the outer vessel wall of the carotid artery.
Source: Stroke - August 26, 2013 Category: Neurology Authors: Renard, D., Azakri, S., Arquizan, C., Swinnen, B., Labauge, P., Thijs, V. Tags: Heparin, Coumarins, CT and MRI, Computerized tomography and Magnetic Resonance Imaging Clinical Sciences Source Type: research

Letter by Gallerini et al Regarding Article, "Characteristics and Outcomes of Patients With Multiple Cervical Artery Dissection" Letters to the Editor
Source: Stroke - April 28, 2014 Category: Neurology Authors: Gallerini, S., Bartalucci, M., Marconi, R. Tags: Carotid and Vertebral A. Dissection Letters to the Editor Source Type: research

Risk of recurrent cervical artery dissection during pregnancy, childbirth and puerperium
ConclusionsOur observation suggests that the risk of recurrent CAD may not be greatly increased with pregnancies starting at least 12 months after CAD in women without typical connective tissue disease.
Source: European Journal of Neurology - November 29, 2014 Category: Neurology Authors: M. Reinhard, M. Munz, A.‐L. Kannen, H.‐J. Griesser‐Leute, R. Dittrich, S. T. Engelter Tags: Short Communication Source Type: research

CADISS: Antiplatelet, Anticoagulant Equal in Cervical DissectionCADISS: Antiplatelet, Anticoagulant Equal in Cervical Dissection
The first randomized comparison of antiplatelet vs anticoagulant therapy for cervical artery dissection finds no difference in recurrent stroke, although event rates were very low. Medscape Medical News
Source: Medscape Neurology and Neurosurgery Headlines - February 17, 2015 Category: Neurology Tags: Neurology & Neurosurgery News Source Type: news

New ischaemic brain lesions in cervical artery dissection stratified to antiplatelets or anticoagulants
ConclusionNew ischaemic brain lesions occurred in a quarter of CAD patients, independently of the type of antithrombotic treatment. MRI findings could potentially serve as surrogate outcomes in pilot treatment trials.
Source: European Journal of Neurology - February 24, 2015 Category: Neurology Authors: H. Gensicke, F. Ahlhelm, S. Jung, A. Hessling, C. Traenka, B. Goeggel Simonetti, N. Peters, L. H. Bonati, U. Fischer, A. Broeg‐Morvay, D. J. Seiffge, J. Gralla, C. Stippich, R. W. Baumgartner, P. A. Lyrer, M. Arnold, S. T. Engelter Tags: Original Article Source Type: research

Response to Cassidy and Cote
We thank Drs Cassidy and Cote for their letter in response to our article “Case Misclassification….” It appears as if the methods and impact of our study was misinterpreted and we appreciate the opportunity to offer clarification. Our primary aim was very simple—to determine the positive predictive value (PPV) for identifying cervical artery dissection (CAD) by using the search strategy used in the studies by Rothwell and Cassidy. The earlier studies purport to negate the causal association between cervical manipulative therapy (CMT) and CAD by demonstrating a similar association between visits to primary care phys...
Source: Journal of Stroke and Cerebrovascular Diseases - February 24, 2015 Category: Neurology Authors: David E. Thaler Tags: Letter to the Editor Source Type: research

Literature Review and Case Report of Intravenous Thrombolysis in Acute Cerebral Infarction Attributed to Cervical Arterial Dissection
Acute cerebral infarction (ACI) caused by cervical arterial dissection (CAD) is a rare clinical disease. Therapeutic approaches include anticoagulant therapy, antiplatelet aggregation, and thrombolytic therapy. Currently, anticoagulant therapy or antiplatelet aggregation is the primary choice, whereas the thrombolytic therapy is still controversial. In this article, we report a patient with ACI caused by right CAD, which led to a compensatory increase in blood supply to the right middle cerebral artery through the anterior communicating artery.
Source: Journal of Stroke and Cerebrovascular Diseases - July 8, 2015 Category: Neurology Authors: Zhihui Yan, Tianxia Yu, Ying Wang, Min Wang, Hui Liang Tags: Case Report Source Type: research

Ischemic Cervical Myelopathy Caused by Vertebral Artery Dissection: The Clinical Utility of a Motor-evoked Potential Study
Conclusions: When there is diagnostic ambiguity between the upper and lower motor neuron lesions in VAD, motor-evoked potential study can be helpful to diagnose peripheral neurological complication of VAD.
Source: The Neurologist - December 28, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Headache in Intracranial and Cervical Artery Dissections
Abstract Dissection refers to a tear in the wall of an artery, with the two main types being intracranial or extracranial. Dissections tend to occur most commonly in the young, sometimes secondary to trauma involving the neck. To confirm a dissection, some type of vessel imaging is necessary, including magnetic resonance angiography (MRA), computed tomography angiography (CTA), or angiography. The most common presentation of a dissection (especially extracranial) is pain, usually head and neck pain along with a Horner’s syndrome. Patients may also present with ischemic symptoms, including transient ischemic att...
Source: Current Pain and Headache Reports - January 13, 2016 Category: Neurology Source Type: research

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

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