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Procedure: Cervical Discectomy

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Total 417 results found since Jan 2013.

The Use of Tissue Plasminogen Activator in the Treatment of Wallenberg Syndrome Caused by Vertebral Artery Dissection
Acute cerebrovascular accident (CVA) is a devastating cause of patient morbidity and mortality. Up to 10% of acute CVAs in young patients are caused by dissection of the vertebral or carotid artery. Wallenberg syndrome results from a CVA in the vertebral or posterior inferior artery of the cerebellum and manifests as various degrees of cerebellar dysfunction. The administration of a thrombolytic medication has been recommended in the treatment of patients with stroke caused by cervical artery dissection.
Source: The Journal of Emergency Medicine - February 27, 2017 Category: Emergency Medicine Authors: Alexis Salerno, Bradford V. Cotter, Michael E. Winters Tags: Clinical Communications: Adult 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

Cervical Carotid Pseudo-Occlusions and False Dissections Brief Report
Background and Purpose—Pseudo-occlusion (PO) of the cervical internal carotid artery (ICA) refers to an isolated occlusion of the intracranial ICA that appears as an extracranial ICA occlusion on computed tomography angiography (CTA) or digital subtraction angiography because of blockage of distal contrast penetration by a stagnant column of unopacified blood. We aim to better characterize this poorly recognized entity.Methods—Retrospective review of an endovascular database (2010–2015; n=898). Only patients with isolated intracranial ICA occlusions as confirmed by angiographic exploration were included. CTA and digi...
Source: Stroke - February 26, 2017 Category: Neurology Authors: Jonathan A. Grossberg, Diogo C. Haussen, Fabricio B. Cardoso, Leticia C. Rebello, Mehdi Bouslama, Aaron M. Anderson, Michael R. Frankel, Raul G. Nogueira Tags: Imaging, Revascularization, Cerebrovascular Procedures, Ischemic Stroke Brief Reports 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

Etiologies of internal carotid artery pseudo-occlusions in acute stroke patients: what neurointerventionalists can expect.
Abstract In cases of acute stroke, differentiation between an occluded and a patent internal carotid artery (ICA) is crucial for diagnosis and management. Although computed tomography angiography (CTA) can be highly accurate in defining high-grade stenosis and ICA occlusions, misleading ICA occlusion patterns are not rare in acute stroke patients. We investigated the underlying causes of ICA pseudo-occlusions with CTA with respect to digital subtraction angiography (DSA). 11 out of 72 patients had pseudo-occlusion on CTA. Of these, there were three cases of tandem occlusions accompanying high-grade ICA stenosis, f...
Source: The British Journal of Radiology - December 19, 2016 Category: Radiology Authors: Akpınar S, Gelener P, Yilmaz G Tags: Br J Radiol 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

Tourette Syndrome and Comorbid Neuropsychiatric Conditions
AbstractTourette syndrome is a neuropsychiatric condition characterized by both motor and phonic tics over a period of at least 1  year with the onset in childhood or adolescence. Apart from the tics, most of the patients with Tourette syndrome have associated neuropsychiatric comorbidities consisting of attention deficit hyperactivity disorder, obsessive compulsive disorder, rage attacks, sleep issues, depression, and migrai ne. Patients may also have physical complications directly from violent motor tics which can rarely include cervical myelopathy, arterial dissection, and stroke. The purpose of this article is to rev...
Source: Current Developmental Disorders Reports - November 4, 2016 Category: Child Development 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

Intentional subintimal carotid stenting of internal carotid dissection in a patient with acute ischaemic stroke.
We report the case of a young woman with severe acute ischaemic stroke due to carotid artery dissection and intracranial embolism. After failure of endoluminal crossing of the dissected segment, intentional subintimal crossing with re-entry distally to the dissection was achieved and a stent was deployed. Then, middle cerebral artery thrombectomy was performed achieving good recanalisation. Acute thrombus formed in the bulged segment of the carotid stent and was managed with additional stent placement. The patient had a good clinical recovery. In selected cases, after failure of conventional techniques, subintimal recanali...
Source: Interventional Neuroradiology - November 2, 2016 Category: Radiology Tags: Interv Neuroradiol 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

Cervical Fracture from Chronic Steroid Usage Presenting as a Stroke: A Case Report
Conclusion Stroke mimics can require the same urgency in care and diagnosis as strokes themselves.
Source: International Journal of Surgery Case Reports - September 28, 2016 Category: Surgery Source Type: research

Vascular Tortuosity May Be Associated With Cervical Artery Dissection Clinical Sciences
Conclusions— CerAD is associated with tortuous cervical arteries, which may implicate weakened cervical vascular structure in these patients.
Source: Stroke - September 25, 2016 Category: Neurology Authors: Kim, B. J., Yang, E., Kim, N.-Y., Kim, M.-J., Kang, D.-W., Kwon, S. U., Kim, J. S. Tags: Cerebrovascular Disease/Stroke Clinical Sciences Source Type: research