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Procedure: Cervical Discectomy

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Total 417 results found since Jan 2013.

Endovascular treatment of acute tandem occlusion strokes and stenting first experience
This study demonstrates the radiologic and clinical findings, etiologies and intervention strategy in 8 acute ischemic stroke patients with tandem occlusions. The mean age was 57 and mean NIHSS score was 19. Stent-assisted thrombectomy (SAT) was performed on all of the patients. Additionally, 6 patients underwent carotid artery stenting before SAT. Recanalization with TICI≥2b was attained in 7/8 patients. The 90thday median mRS was 2 and mortality was 1/8. The etiologies of the tandem occlusions were either extracranial high grade ICA stenosis/occlusion or cervical ICA dissection. When the stent-first approach was applie...
Source: Journal of Clinical Neuroscience - October 9, 2017 Category: Neuroscience 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

Poster 328: Bilateral Vertebral Artery Dissection, Spinal Cord Infarct and Brainstem Stroke in a Patient with Posterior Neck Pain Before Cervical Manipulation: A Case Report
Sima Patel: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Sima C. Patel Source Type: research

Cervical artery dissection related to chiropractic manipulation: One institution's experience.
CONCLUSION: In this case series, 12 patients with newly diagnosed cervical artery dissection(s) had recent chiropractic neck manipulation. Patients who are considering chiropractic cervical manipulation should be informed of the potential risk and be advised to seek immediate medical attention should they develop symptoms. PMID: 28863201 [PubMed - in process]
Source: The Journal of Family Practice - September 1, 2017 Category: Practice Management Authors: Kennell KA, Daghfal MM, Patel SG, DeSanto JR, Waterman GS, Bertino RE Tags: J Fam Pract 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

Epidemiology and cerebrovascular events related to cervical and intracranial arteries dissection: the experience of the city of Pisa
This study aims to evaluate the incidence, clinical features, and outcome of cerebrovascular events related to sCAD and spontaneous intracranial arteries dissections (sIAD) in the city of Pisa (Italy). We retrospectively analyzed consecutive patients admitted between December 1997 and June 2015 with a diagnosis of stroke, TIA, or Bernard-Horner syndrome due to acute cervical or intracranial artery dissection. Considering that our hospital collects presumptively all patients hospitalized with sCAD coming from the referral geographical area, data may provide a good approximation to real incidence of sCAD in our population. C...
Source: Neurological Sciences - August 16, 2017 Category: Neurology Source Type: research

Mid-cervical flame-shaped pseudo-occlusion: diagnostic performance of mid-cervical flame-shaped extracranial internal carotid artery sign on computed tomographic angiography in hyperacute ischemic stroke
ConclusionThe mid-cervical flame-shaped extracranial ICA sign may suggest the presence of isolated intracranial ICA occlusion and allow reliable exclusion of tandem extracranial-intracranial ICA occlusion in hyperacute ischemic stroke setting.
Source: Neuroradiology - August 7, 2017 Category: Radiology Source Type: research

E-049 Accuracy of non-invasive and invasive imaging in identifying ica occlusion: a comparative study in 65 patients
Conclusion Our result suggests that there is a lack of correlation between the imaging findings of carotid occlusion on imaging compared with catheter angiography of the ICA during the intervention in acute stroke treatment. Thus, endovascular catheterization of the ICA is often required for the exact characterization and localization of the carotid occlusion and to determine if a dissection is the underlying pathology in such cases. Disclosures A. El Mekabaty: None. Q. Hao: None. E. Cheng-Ching: None. S. Hussain: None. A. Spiotta: None. F. Hui: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Mekabaty, E., Hao, Q., Cheng-Ching, E., Hussain, S., Spiotta, A., Hui, F. Tags: Electronic Poster Abstracts Source Type: research

Traumatic bilateral dissection of cervical internal carotid artery in the wake of a car accident: A case report.
CONCLUSION: With early detection and proper management, traumatic dissection of cervical carotid artery can have a benign outcome. As for the current patient, medical treatment with anticoagulation was sufficient and surgical management was therefore not required. Improvement in the patients' speech was observed; nevertheless the continuation of speech therapy was indicated. PMID: 28743388 [PubMed - as supplied by publisher]
Source: Neurologia i Neurochirurgia Polska - July 10, 2017 Category: Neurology Authors: Taoussi N, Alghamdi AJ, Bielewicz J, Luchowski P, Rejdak K Tags: Neurol Neurochir Pol Source Type: research

Dissection of Cervical and Cerebral Arteries
AbstractPurpose of ReviewWe aimed to summarize recent findings in cervical (CeAD) and intracranial artery dissection (IAD) research.Recent FindingsConsidered a disease of the young- and middle-aged, an analysis on the largest CeAD-population to date (n = 2391) revealed that about 1 of 14 CeAD-patients was aged ≥60 years. Distinct genetic variants were associated with CeAD. However, in clinical practice, genetic investigations are not helpful due to the small effect size. Despite the paucity of data from randomized-controlled trials in CeAD-s troke patients, both intravenous thrombolysis and endovascular treatment shou...
Source: Current Neurology and Neuroscience Reports - June 30, 2017 Category: Neuroscience Source Type: research

Comprehensive analysis of intra-arterial treatment for acute ischemic stroke due to cervical artery dissection
Conclusions IAT is a valid alternative therapeutic option for AIS caused by CeAD due to the low complication rate and excellent outcomes observed in this study.
Source: Journal of NeuroInterventional Surgery - June 16, 2017 Category: Neurosurgery Authors: Jensen, J., Salottolo, K., Frei, D., Loy, D., McCarthy, K., Wagner, J., Whaley, M., Bellon, R., Bar-Or, D. Tags: Open access, Ischemic stroke Source Type: research

Treatment of Cervical Artery Dissection: Antithrombotics, Thrombolysis, and Endovascular Therapy.
Abstract Cervical artery dissection (CAD) is an important cause of stroke for young patients, accounting for 5-22% of strokes in patients <45 years of age, which presents not only a great burden to the stroke victims but also a financial burden to the family and society. Because CAD can lead to different clinical lesions, including neuropathy, acute ischemic stroke, and subarachnoid hemorrhage, and is an arterial dissection with a self-healing tendency, the treatment options depend on the clinical manifestations. The main purpose of the treatment is to control CAD-induced neuronal damage and to restore blood fl...
Source: Biomed Res - June 14, 2017 Category: Research Authors: Peng J, Liu Z, Luo C, Chen L, Hou X, Xiao L, Zhou Z Tags: Biomed Res Int Source Type: research

Clinical Significance of Isolated Atypical Transient Symptoms in a Cohort With Transient Ischemic Attack Clinical Sciences
Background and Purpose—Contrary to typical transient symptoms (TS), atypical TS, such as partial sensory deficit, dysarthria, vertigo/unsteadiness, unusual cortical visual deficit, and diplopia, are not usually classified as symptoms of transient ischemic attack when they occur in isolation, and their clinical relevance is frequently denied.Methods—Consecutive patients with recent TS admitted in our transient ischemic attack clinic (2003–2008) had systematic brain, arterial, and cardiac investigations. We compared the prevalence of recent infarction on brain imaging, major investigational findings (symptomatic intrac...
Source: Stroke - May 22, 2017 Category: Neurology Authors: Philippa C. Lavallee, Leila Sissani, Julien Labreuche, Elena Meseguer, Lucie Cabreȷo, Celine Guidoux, Isabelle F. Klein, Pierre–Jean Touboul, Pierre Amarenco Tags: Clinical Studies, Diagnostic Testing, Transient Ischemic Attack (TIA) Original Contributions Source Type: research

Arterial tortuosity in patients with spontaneous cervical artery dissection
ConclusionCeAD patients exhibit increased arterial tortuosity. This might have potential implications for better understanding of the pathophysiology of the disease as well as clinical utility in evaluation, prognostication, and decision-making of affected individuals.
Source: Neuroradiology - May 11, 2017 Category: Radiology Source Type: research

CT versus MR Techniques in the Detection of Cervical Artery Dissection
CONCLUSIONSCT/CTA is a reliable and better available alternative to MRI/MRA for diagnosis of sCAD. CT/CTA should be used to complement MRI/MRA in cases where MRI/MRA suggests occlusion.
Source: Journal of Neuroimaging - May 1, 2017 Category: Radiology Authors: Uta Hanning, Peter B. Sporns, Meilin Schmiedel, Erich B. Ringelstein, Walter Heindel, Heinz Wiendl, Thomas Niederstadt, Ralf Dittrich Tags: Clinical Investigative Study Source Type: research