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E-108 Endovascular treatment of patients with acute ischemic stroke due to underlying arterial dissection: a nationwide analysis
ConclusionsDespite a similar prevalence among patients admitted for AIS, CA dissections are associated with a higher rate of endovascular intervention and poorer short-term outcomes compared to VA dissections. This study provides essential epidemiologic and outcome data for the cerebrovascular neurosurgeon.Abstract E-108 Table 1Comparison of clinical characteristics and outcomes among patients presenting with acute ischemic stroke due to carotid or vertebral artery dissections Characteristic Vertebral Artery Dissection, N = 2,562 Carotid Artery Dissection, N = 2,789 p-value1 Age (years), Mean (SD) 53 (17) 57 (17) <0.00...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Brandel, M., McCann, C., Wali, A., Wu, V., Esmail, S., Steinberg, J., Olson, S., Pannell, J., Khalessi, A., Santiago-Dieppa, D. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

The association between cervical artery dissection and spinal manipulation among US adults
ConclusionAmong privately insured US adults, the overall risk of CeAD is very low. Prior receipt of CSM was more likely than E&M among VAD patients as compared to stroke patients. However, for CAD patients as compared to stroke patients, as well as for both VAD and CAD patients in comparison with population controls and in case-crossover analysis, prior receipt of E&M was more likely than CSM.
Source: European Spine Journal - July 8, 2023 Category: Orthopaedics Source Type: research

Association Between Spontaneous Internal Carotid Artery Dissection and Perivascular Adipose Tissue Attenuation on Computed Tomography Angiography
This study evaluated the CT attenuation of PVAT surrounding the internal carotid artery (PVATcarotid) with and without spontaneous dissection.
Source: Heart, Lung and Circulation - July 1, 2023 Category: Cardiology Authors: K. Cheng, A. Lin, X. Stecher, T. Bernstein, P. Zu ñiga, E. Mazzon, A. Brunser, V. Diaz, G. Martinez, W. Cameron, S. Nicholls, S. Patel, D. Dey, D. Wong, P. Venturell Source Type: research

Diagnostic potential of routine brain MRI and high-resolution, multi-contrast vessel wall imaging in the detection of internal carotid artery dissection
Conclusion: The combination of brain MRI and clinical information could be used for the diagnosis of CAD and hrVWI should be sought for uncertain cases.
Source: Frontiers in Neurology - May 11, 2023 Category: Neurology Source Type: research

Role of mini access during carotid endarterectomy: a prospective observational study
CONCLUSIONS: According to these results the mini skin incision allows a sufficient vessels exposure for dissection, endarterectomy, reconstruction of carotid artery and shunt positioning, minimizing surgical invasiveness, decreasing the incidence of temporary cervical nerve dysfunction and improving the aesthetic result with significative less pain suffered by the patients. Transverse cervical and great auricular nerves sparing decreased postoperative hypo-paresthesia in the neck, improving patient's satisfaction. These data suggest that this procedure can be considered safe. Exploratory analysis suggested that it could po...
Source: The Journal of Cardiovascular Surgery - November 30, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Roberto Gabrielli Andrea Siani Gianluca Smedile Anna R Rizzo Gennaro DE Vivo Federico Accrocca Stefano Bartoli Source Type: research

The B árány Society position on 'Cervical Dizziness'
J Vestib Res. 2022 Nov 15. doi: 10.3233/VES-220202. Online ahead of print.ABSTRACTThis paper describes the Bárány Society Classification OverSight Committee (COSC) position on Cervical Dizziness sometimes referred to as Cervical Vertigo. This involved an initial review by a group of experts across a broad range of fields, and then subsequent review by the Bárány Society COSC. Based upon the so far published literature, the Bárány Society COSC takes the view that the evidence supporting a mechanistic link between an illusory sensation of self-motion (spinning or otherwise) and neck pathology and/or symptoms of neck pa...
Source: Journal of Vestibular Research: Equilibrium and Orientation - November 21, 2022 Category: Neuroscience Authors: Barry M Seemungal Yuri Agrawal Alexander Bisdorff Adolfo Bronstein Kathleen E Cullen Peter J Goadsby Thomas Lempert Sudhir Kothari Phang Boon Lim Mns Magnusson Hani J Marcus Michael Strupp Susan L Whitney Source Type: research

Is This Primary Exertional Headache?
Discussion Commonly occurring primary headaches include tension, cluster and migraine headaches. “Other primary headaches” are often situational. Patients can have more than 1 type of these “other” headaches along with more common headaches. Other primary headaches as a group tend to be self-limited with long remission periods. Some other primary headaches include: Thunderclap headache Explosive sudden onset with maximum intensity in less 1 minute and resolution within 5 minutes usually 43/100,000 persons in adults Primary or secondary Secondary causes include intracranial hemorrhage, stroke, thro...
Source: PediatricEducation.org - November 21, 2022 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Craniovertebral Junction Anomalies: An Overlooked Cause of & #39;Posterior Circulation Stroke & #39;
Conclusions: CVJ anomalies can present as posterior circulation infarct. One must evaluate all patients with posterior circulation stroke, especially young patients, for possible CVJ anomalies. Dynamic lateral cervical spine X-ray is an important tool to diagnose AAD. CVJ anomalies represent a treatable cause of VAD.
Source: Neurology India - November 11, 2022 Category: Neurology Authors: Kanwaljeet Garg Vivek Tandon Rajinder Kumar P Sarat Chandra Shashank S Kale Bhawani Shankar Sharma Ashok K Mahapatra Source Type: research

Trends in admissions for intracranial dissections in the United States
Intracranial artery dissection (IAD) is rarer than cervical artery dissections (CeAD), and information is based on limited series with small cohorts. There are only several small-scale studies attempting to characterize the natural history of the disease. Herein, we analyze the prevalence of IADs in hospitalized patients using a national database.
Source: Journal of Stroke and Cerebrovascular Diseases - September 16, 2022 Category: Neurology Authors: Waseem Wahood, Giuseppe Lanzino, Zafer Keser Source Type: research

Identifying patient characteristics associated with the occurrence of post treatment non-serious adverse events after cervical spine manual therapy treatment in patients with neck pain
CONCLUSION: There is a significant difference in the occurrence of non-serious adverse events after mobilization compared to manipulation or a combination of manipulation and mobilization. Non-serious adverse events in manual therapy practice are common and are associated with smoking and the presence of comorbidity. In addition, women are more likely to report non-serious adverse events.PMID:36037878 | DOI:10.1016/j.apmr.2022.08.007
Source: Health Physics - August 29, 2022 Category: Physics Authors: Renske Peters R Maarten Schmitt Bert Mutsaers Ronald Buyl Arianne Verhagen Annelies Pool-Goudzwaard Bart Koes Source Type: research

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