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Thrombectomy in Acute Stroke With Tandem Occlusions From Dissection Versus Atherosclerotic Cause Brief Report
Conclusions—We found no differences in the outcomes of patients with anterior circulation tandem atherosclerotic and dissection lesions treated with endovascular thrombectomy. Further studies are warranted.
Source: Stroke - October 23, 2017 Category: Neurology Authors: Benȷamin Gory, Michel Piotin, Diogo C. Haussen, Henrik Steglich–Arnholm, Markus Holtmannspotter, Julien Labreuche, Christian Taschner, Sebastian Eiden, Raul G. Nogueira, Panagiotis Papanagiotou, Maria Boutchakova, Adnan Siddiqui, Bertrand Lap Tags: Revascularization, Stent, Complications, Ischemic Stroke Brief Reports 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

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

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

Commentary on the Cervical Artery Dissection in Stroke Study Trial Emerging Therapy Critiques
Source: Stroke - April 24, 2016 Category: Neurology Authors: Bae, H.-J., Debette, S. Tags: Cerebrovascular Disease/Stroke, Ischemic Stroke Emerging Therapy Critiques Source Type: research

In-Hospital Stroke Recurrence and Stroke After Transient Ischemic Attack: Frequency and Risk Factors Clinical Sciences
Conclusions— In-hospital stroke recurrence was low with optimal current management. Patients with a history of TIA, severe symptomatic carotid stenosis, or uncommon causes of stroke were at higher risk. Pneumonia was associated with a higher risk of stroke recurrence in patients with initial TIA or minor stroke but not in the overall population studied. Aphasia may bias the detection rate by concealing new neurological symptoms.
Source: Stroke - March 23, 2015 Category: Neurology Authors: Erdur, H., Scheitz, J. F., Ebinger, M., Rocco, A., Grittner, U., Meisel, A., Rothwell, P. M., Endres, M., Nolte, C. H. Tags: Acute Cerebral Infarction, Carotid Stenosis, Emergency treatment of Stroke, Antiplatelets Clinical Sciences Source Type: research

Cervical Arterial Dissections and Association With Cervical Manipulative Therapy: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association AHA/ASA Scientific Statement
Conclusions— CD is an important cause of ischemic stroke in young and middle-aged patients. CD is most prevalent in the upper cervical spine and can involve the internal carotid artery or vertebral artery. Although current biomechanical evidence is insufficient to establish the claim that CMT causes CD, clinical reports suggest that mechanical forces play a role in a considerable number of CDs and most population controlled studies have found an association between CMT and VAD stroke in young patients. Although the incidence of CMT-associated CD in patients who have previously received CMT is not well established, an...
Source: Stroke - September 22, 2014 Category: Neurology Authors: Biller, J., Sacco, R. L., Albuquerque, F. C., Demaerschalk, B. M., Fayad, P., Long, P. H., Noorollah, L. D., Panagos, P. D., Schievink, W. I., Schwartz, N. E., Shuaib, A., Thaler, D. E., Tirschwell, D. L., on behalf of the American Heart Association Strok Tags: AHA Statements and Guidelines AHA/ASA Scientific Statement 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

Characteristics and Outcomes of Patients With Multiple Cervical Artery Dissection Clinical Sciences
Conclusions— In the largest published series of patients with CeAD, we highlighted significant differences between multiple and single artery involvement. Features suggestive of an underlying vasculopathy (fibromuscular dysplasia) and environmental triggers (recent infection, cervical manipulation, and a remote history of head or neck surgery) were preferentially associated with multiple CeAD.
Source: Stroke - December 23, 2013 Category: Neurology Authors: Bejot, Y., Aboa-Eboule, C., Debette, S., Pezzini, A., Tatlisumak, T., Engelter, S., Grond-Ginsbach, C., Touze, E., Sessa, M., Metso, T., Metso, A., Kloss, M., Caso, V., Dallongeville, J., Lyrer, P., Leys, D., Giroud, M., Pandolfo, M., Abboud, S., on behal Tags: Carotid and Vertebral A. Dissection Clinical Sciences 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