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Procedure: Cervical Discectomy
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Total 417 results found since Jan 2013.
The Clinical Features of Dissection of the Cervical Brain-Supplying Arteries
CONCLUSION: Dissection of the cervical brain-supplying vessels is not always revealed by the imaging methods that are used to detect it. Stroke prevention thus depends on the physician's being aware of the symptoms and signs of this disease entity, so that early diagnosis can be followed by appropriate treatment.PMID:35734920 | DOI:10.3238/arztebl.m2022.0238
Source: Deutsches Arzteblatt International - June 23, 2022 Category: General Medicine Authors: Christian Arning Kathrin Hanke-Arning Bernd Eckert 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
The Case Files: Traumatic Carotid Dissection
By Hsiao, Jonie MD
A 30-year-old man who was right-hand dominant presented 10 days after sustaining left-sided face and head trauma from a fall from a skateboard at an unknown speed. He lost consciousness for several seconds, and initially developed a headache with nausea and vomiting. A non-contrast head CT performed at another hospital done two days after the incident was reportedly negative.
He now presents primarily with concerns about the appearance of his left eye. He has notable anisocoria and a droopy eyelid. His left pupil is notably smaller, 2 mm, compared with the right eye, 5 mm. Both are reactive. The re...
Source: The Case Files - June 4, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: research
Comment CADISS: a feasibility trial that answered its question
Anticoagulation after ischaemic stroke was a topic of major controversy for decades until a series of randomised clinical trials consistently showed no net benefit of heparin or warfarin compared with aspirin.1,2 Any reduction in the risk of recurrent ischaemic stroke was offset by an increase in risk of intracerebral haemorrhages. One cause of stroke for which the effect of anticoagulation remains unclear is cervical artery dissection. The classic dogma was that a tear in the intima leads to formation of a fibrin-rich thrombus and poses a very high risk of artery-to-artery embolism or occlusion, making early anticoagulati...
Source: Lancet Neurology - February 12, 2015 Category: Neurology Authors: Scott E Kasner Tags: Comment Source Type: research
Diagnosis and Treatment of Cervical Artery Dissection
Cervical artery dissection (CAD) is a major cause of stroke in the young. A mural hematoma is detected in most CAD patients. The intramural blood accumulation should not be considered a reason to withhold intravenous thrombolysis in patients with CAD-related stroke. Because intravenous-thrombolyzed CAD patients might not recover as well as other stroke patients, acute endovascular treatment is an alternative. Regarding the choice of antithrombotic agents, this article discusses the findings of 4 meta-analyses across observational data, the current status of 3 randomized controlled trials, and arguments and counterarguments...
Source: Neurologic Clinics - April 22, 2015 Category: Neurology Authors: Stefan T. Engelter, Christopher Traenka, Alexander Von Hessling, Philippe A. Lyrer Source Type: research
Risk Factors and Clinical Presentation of Cervical Arterial Dissection: Preliminary Results of a Prospective Case Control Study.
Conclusion Recent minor mechanical trauma or strain to the head or neck appears to be associated with cervical arterial dissection. General cardiovascular risk factors with the exception of migraine were not important risk factors for dissection in this cohort. Preceding transient neurological symptoms appear to occur commonly and may assist in identification of this serious pathology. Level of Evidence Prognosis, level 4. J Orthop Sports Phys Ther, Epub 21 May 2015. doi:10.2519/jospt.2015.5877.
PMID: 25996363 [PubMed - as supplied by publisher]
Source: Physical Therapy - May 21, 2015 Category: Physiotherapy Authors: Thomas LC, Rivett DA, Attia JR, Levi C Tags: J Orthop Sports Phys Ther Source Type: research
Migraine and the Risk of Carotid Artery Dissection
Stroke incidence is increasing among patients aged 40 to 60 years —faster than in older age cohorts. Preliminary evidence suggests that ischemic stroke—not hemorrhage or subarachnoid hemorrhage—accounts for the increase. Many speculate that increasing incidences of classic vascular risk factors among young patients contribute to the increased incidence of st roke. Certainly, we are all aware of the obesity epidemic and continued prevalence of smoking, leading to premature atherosclerosis. Furthermore, equally relevant causes of stroke in the young include migraine, drug abuse, cervical arterial dissections, patent fo...
Source: JAMA Neurology - March 6, 2017 Category: Neurology Source Type: research
Characteristics and Outcomes of Vertebrobasilar Artery Dissection with Accompanied Atherosclerosis
Conclusion: VBD-related PCS with and without accompanied atherosclerosis had different manifestations and should be regarded as distinct arterial diseases.Cerebrovasc Dis Extra 2017;7:165 –172
Source: Cerebrovascular Diseases Extra - October 17, 2017 Category: Neurology Source Type: research
Internal Carotid Artery Dissection Treated with C-Guard Stent
Int J Angiol DOI: 10.1055/s-0040-1708839Internal carotid dissection is the most common cause of stroke in the young population. Stroke, the presence of a pseudoaneurysm, and decreased artery lumen with cerebral flow impairment are indications for treatment. Medical therapy with antithrombotic drugs and endovascular therapy with stenting are the main available options. The C-Guard stent is an open cell mesh-covered dual layer stent that has been mainly used in cases of internal carotid artery stenosis with a post-operative reduction in stroke incidence. Thus, we present two cases of internal carotid artery dissections of th...
Source: International Journal of Angiology - April 27, 2020 Category: Cardiology Authors: Saal-Zapata, Giancarlo Durand, Walter Valer, Dante Rodr íguez, Rodolfo Tags: Case Report 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
Endovascular treatment of acute carotid occlusion
Conclusions: Revascularization of the cervical carotid occlusion prior to treatment of the intracranial occlusion led to increased rates of recanalization in patients with tandem extracranial and intracranial occlusions. Whether a clinical benefit can be consistently derived likely relies on other factors, including the evaluation of cerebral perfusion.
Source: Clinical Neurology and Neurosurgery - November 18, 2013 Category: Neurosurgery Authors: L. Ratanaprasatporn, J.A. Grossberg, H.S. Spader, M.V. Jayaraman Tags: Original articles Source Type: research
Evaluation of Rotational Vertebral Artery Occlusion Using Ultrasound Facilitates the Detection of Arterial Dissection in the Atlas Loop
CONCLUSIONFor posterior circulation stroke patients, adding submaximal head rotation to the cervical ultrasound examination facilitated the detection of VAD in the atlas loop.
Source: Journal of Neuroimaging - October 12, 2014 Category: Radiology Authors: Y. Yamaoka, Y. Ichikawa, A. Morita Tags: Short Communication Source Type: research
