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Association Between Migraine and Cervical Artery Dissection
This cohort study examines the association between migraine and ischemic stroke due to cervical artery dissection in young patients with ischemic stroke.
Source: JAMA Neurology - March 6, 2017 Category: Neurology Source Type: research

“Phacing” a New Cause of Carotid Artery Dissection
Conclusions: Noteworthy, among vascular abnormalities of PHACE, CADs have never been reported before. Our 2 cases suggest that CAD is an underecognized cerebrovascular manifestation of PHACE and it should be searched for in these patients. Ultrasound, being noninvasive and portable, is a useful tool for the assessment and follow-up of these patients.
Source: The Neurologist - March 1, 2017 Category: Neurology Tags: Case Report/Case Series 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

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

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

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

Symptomatogenic acute cervical artery dissection following dental procedure – Case series
Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to dental procedures.Cases.four patients were admitted to the neurology department due to various neurological deficits, which developed subsequently to dental procedure. CT angiography demonstrated CAD in all patients. No predisposing background disease or other neck manipulations were found.
Source: Journal of the Neurological Sciences - July 8, 2016 Category: Neurology Authors: J.A. Molad, M. Findler, N.M. Bornstein, E. Auriel Tags: Clinical Short Communication Source Type: research

Symptomatogenic acute cervical artery dissection following dental procedure — Case series
Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to dental procedures.
Source: Journal of the Neurological Sciences - July 8, 2016 Category: Neurology Authors: J.A. Molad, M. Findler, N.M. Bornstein, E. Auriel Tags: Clinical short communication Source Type: research

The migraine-stroke connection: A genetic perspective
Conclusion A wealth of data supports a genetic link between migraine and vascular disease. Based on growing high-throughput data-sets, new genotyping techniques and in-depth phenotyping, further insights are expected for the future.
Source: Cephalalgia - June 1, 2016 Category: Neurology Authors: Malik, R., Winsvold, B., Auffenberg, E., Dichgans, M., Freilinger, T. Tags: Review Articles Source Type: research

Safety and Efficacy of Thrombolysis in Cervical Artery Dissection-Related Ischemic Stroke: A Meta-Analysis of Observational Studies
Conclusion: Thrombolysis seems to be equally safe and will achieve an efficacy similar to the efficacy of non-thrombolysis in patients with acute ischemic stroke due to CAD. It is also as effective as thrombolysis in stroke from miscellaneous causes. Therefore, CAD patients experiencing a stroke should not be denied thrombolysis therapy. However, this will need to be confirmed in large-scale randomized studies, especially involving intravenous thrombolysis treatment.Cerebrovasc Dis 2016;42:272-279
Source: Cerebrovascular Diseases - May 20, 2016 Category: Neurology Source Type: research

Spontaneous Bilateral Cervical Internal Carotid and Vertebral Artery Dissection in a Japanese Patient without Collagen Vascular Disease with Special Reference to Single-Nucleotide Polymorphisms
Spontaneous cervical artery dissection (sCAD) is a major cause of ischemic stroke in young adults. Frequently, sCAD involves multiple neck arteries, accounting for 13%-28% of the total sCAD cases. However, little is known about factors related to multiple sCAD. In this case, a 52-year-old man was admitted due to headache without aura. There was a personal history of migraine with aura and a family history of similar symptoms. The patient's younger brother had a left vertebral artery (VA) dissecting aneurysm and underwent endovascular occlusion of his parent artery at the age of 48.
Source: Journal of Stroke and Cerebrovascular Diseases - May 19, 2016 Category: Neurology Authors: Arata Abe, Chikako Nito, Yuki Sakamoto, Akane Nogami, Hiroyuki Hokama, Shiro Takahashi, Kumiko Kirita, Masayuki Ueda, Yoshiro Ishimaru, Kazumi Kimura Tags: Case Studies Source Type: research

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