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Cervical artery dissection: Trauma and other potential mechanical trigger events
Conclusion: PCT seems to be an important environmental determinant of CeAD, but was not an independent outcome predictor. Because of the characteristics of most PCTs, the term mechanical trigger event rather than trauma may be more appropriate.
Source: Neurology - May 20, 2013 Category: Neurology Authors: Engelter, S. T., Grond-Ginsbach, C., Metso, T. M., Metso, A. J., Kloss, M., Debette, S., Leys, D., Grau, A., Dallongeville, J., Bodenant, M., Samson, Y., Caso, V., Pezzini, A., Bonati, L. H., Thijs, V., Gensicke, H., Martin, J. J., Bersano, A., Touze, E., Tags: Stroke in young adults, Other trauma, Carotid artery dissection ARTICLE Source Type: research

Cervical artery dissection goes frequently undiagnosed
Abstract: Cervical artery dissection (CeAD) is a frequent cause of stroke among young patients. It is unclear how many CeADs occur asymptomatically or cause subtle and unspecific clinical symptoms. We hypothesize that CeAD remains often unrecognized. Accordingly, the incidence of CeAD might be higher and the stroke risk lower than generally assumed. Lack of CeAD-indicating clinical symptoms is regarded as the main cause of missed diagnoses. We further hypothesize that underrepresentation of asymptomatic and oligosymptomatic patients in CeAD studies may have biased the association between ischemia and local symptoms in CeAD...
Source: Medical Hypotheses - April 5, 2013 Category: Biomedical Science Authors: Caspar Grond-Ginsbach, Tiina M. Metso, Antti J. Metso, Alessandro Pezzini, Turgut Tatlisumak, Maani Hakimi, Armin J. Grau, Manja Kloss, Christoph Lichy Tags: Articles Source Type: research

Primary Extracranial Vertebral Artery Aneurysms
Conclusions: Primary extracranial vertebral artery aneurysms are rare and occur in patients with hereditary disorders. Operative intervention is warranted in symptomatic patients. Exclusion and reconstruction may be performed with open and hybrid techniques with low morbidity and mortality.
Source: Annals of Vascular Surgery - March 27, 2013 Category: Surgery Authors: Mark D. Morasch, Sachin V. Phade, Peter Naughton, Manuel Garcia-Toca, Guillermo Escobar, Ramon Berguer Tags: Clinical Research Source Type: research

Hybrid repair of Kommerell diverticulum
Conclusions: Hybrid repair is a safe and effective surgical treatment option for Kommerell diverticulum. Selection of the specific type of intervention is based on patient anatomy and comorbid conditions.
Source: The Journal of Thoracic and Cardiovascular Surgery - March 26, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Jahanzaib Idrees, Suresh Keshavamurthy, Sreekumar Subramanian, Daniel G. Clair, Lars G. Svensson, Eric E. Roselli Tags: Acquired Cardiovascular Disease 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

Experience of pediatric stroke from a tertiary medical center in North India
Conclusion: AIS is more common than ICH in this study and 8.9% patients died. Infection is the most common cause of pediatric stroke in Northern India which is amenable to therapy and is preventable.
Source: Journal of the Neurological Sciences - December 26, 2012 Category: Neurology Authors: Jayantee Kalita, Gourav Goyal, Usha Kant Misra Tags: Original Articles Source Type: research

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