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Incidence and Outcome of Vertebral Artery Dissection in Trauma Setting: Analysis of National Trauma Data Base
Conclusion Although infrequent, VAD in head and neck trauma is associated with higher rates of in-hospital stroke and longer length of ICU stay and total hospital stay. Early diagnosis and endovascular treatment may be an alternative option to reduce the rate of in-hospital stroke in these patients.
Source: Neurocritical Care - October 1, 2014 Category: Neurology 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

Case Misclassification in Studies of Spinal Manipulation and Arterial Dissection
Background: Spinal manipulation has been associated with cervical arterial dissection and stroke but a causal relationship has been questioned by population-based studies. Earlier studies identified cases using International Classification of Diseases Ninth Revision (ICD-9) codes specific to anatomic stroke location rather than stroke etiology. We hypothesize that case misclassification occurred in these previous studies and an underestimation of the strength of the association. We also predicted that case misclassification would differ by patient age.Methods: We identified cases in the Veterans Health Administration datab...
Source: Journal of Stroke and Cerebrovascular Diseases - September 1, 2014 Category: Neurology Authors: Xuemei Cai, Ali Razmara, Jessica K. Paulus, Karen Switkowski, Pari J. Fariborz, Sergey D. Goryachev, Leonard D'Avolio, Edward Feldmann, David E. Thaler Tags: Original Articles Source Type: research

Clinical import of Horner syndrome in internal carotid and vertebral artery dissection
Conclusion: In patients with ICAD, HS is an easily assessable marker that might indicate a more benign clinical course. HS had no prognostic meaning in patients with VAD.
Source: Neurology - May 5, 2014 Category: Neurology Authors: Lyrer, P. A., Brandt, T., Metso, T. M., Metso, A. J., Kloss, M., Debette, S., Leys, D., Caso, V., Pezzini, A., Bonati, L. H., Thijs, V., Bersano, A., Touze, E., Gensicke, H., Martin, J. J., Lichy, C., Tatlisumak, T., Engelter, S. T., Grond-Ginsbach, C., F Tags: Stroke in young adults, Carotid artery dissection ARTICLE 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

Quantifying Cerebral Collaterals In Carotid Artery Dissection May Help Stratify Stroke Risk. (P3.110)
CONCLUSIONS: These uncontrolled data suggest that a quantified score of distal cerebral collaterals could help stratify stroke risk and help guide management in patients with carotid artery dissection. Further controlled, prospective study in a larger and more diverse sample is warranted.Study Supported by: AHA/ASA NCRP 13CRP14140001Disclosure: Dr. Southerland has received personal compensation in an editorial capacity for Neurology Podcast. Dr. Gaughen has received personal compensation for activities with Covidien Neurovascular, Microvention, and Stryker Neurovascular as a consultant. Dr. McMurry has nothing to disclose....
Source: Neurology - April 9, 2014 Category: Neurology Authors: Southerland, A., Gaughen, J., McMurry, T., Wintermark, M., Majersik, J., Worrall, B. Tags: Cerebrovascular Disease and Interventional Neurology: Large Vessel Nonatherosclerotic Arteriopathies Source Type: research

Ischemic Stroke And Cervical Artery Dissection. Risk Factors And Functional Outcome In a Single Tertiary Care Hospital: The Clinica Alemana Stroke Registry (RECCA), 1997-2003 (P3.111)
ConclusionsThe prognosis of ischemic stroke patients with cervical artery dissections is generally good. The only variable associated with a worse prognosis, was a high NIHSS at admission. This allows early identification of a group of patients who are at increased risk of significant disability at discharge.Disclosure: Dr. Diaz has nothing to disclose. Dr. Vicuña has nothing to disclose. Dr. Fernandez has nothing to disclose. Dr. Valenzuela has nothing to disclose. Dr. Lavados has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Diaz, V., Vicuna, M., Fernandez, J., Valenzuela, M., Lavados, P. Tags: Cerebrovascular Disease and Interventional Neurology: Large Vessel Nonatherosclerotic Arteriopathies Source Type: research

Stroke Due To Extracranial Internal Carotid Artery Dissection After Roller Coaster Rides In A 4-Year-Old Boy (P7.343)
CONCLUSIONS: To our knowledge this is the youngest patient with stroke secondary to ICA dissection following roller-coaster rides. Although the exact mechanism of injury leading to ICA dissection in the setting of sudden linear acceleration, deceleration and rotational forces such as those experienced while riding a roller coaster is not fully understood, these injuries have been attributed to brief sustained excessive gravitational forces likely augmented among predisposed individuals. Children may be at higher risk due to the immature anatomy of their cervical spine. Alterations to roller coaster ride dynamics and use of...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Nouh, A., Vela-Duarte, D., Grobelny, T., Hoganson, G., Pasquale, D., Biller, J. Tags: Child Neurology and Developmental Neurology VI Source Type: research

Stroke in first‐degree relatives of patients with cervical artery dissection
ConclusionRelatives of CeAD patients had fewer strokes at a young age than relatives of non‐CeAD IS stroke patients.
Source: European Journal of Neurology - April 2, 2014 Category: Neurology Authors: M. Kloss, C. Grond‐Ginsbach, A. Pezzini, T. M. Metso, A. J. Metso, S. Debette, D. Leys, J. Dallongeville, V. Caso, V. Thijs, A. Bersano, E. Touzé, L. H. Bonati, T. Tatlisumak, M.‐L. Arnold, P. A. Lyrer, S. T. Engelter, Tags: Original Article 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

Incidence and outcome of cerebrovascular events related to cervical artery dissection: the Dijon Stroke Registry
ConclusionThe incidence of cerebrovascular events related to vertebral artery dissection is greater than previously reported, which may indicate a better identification of patients due to improvements in diagnostic procedures.
Source: International Journal of Stroke - October 22, 2013 Category: Neurology Authors: Yannick Béjot, Benoit Daubail, Stéphanie Debette, Jérôme Durier, Maurice Giroud Tags: Research 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

Reversible cerebral vasoconstriction syndrome and cervical artery dissection in 20 patients
Conclusion: The association of RCVS and CeAD was found in 12% of our patients with RCVS and 7% of our patients with CeAD. Underlying mechanisms are unknown. In practice, our results point to the need for a systematic study of both cervical and intracranial arteries in the 2 conditions.
Source: Neurology - August 26, 2013 Category: Neurology Authors: Mawet, J., Boukobza, M., Franc, J., Sarov, M., Arnold, M., Bousser, M.-G., Ducros, A. Tags: Secondary headache disorders, Stroke in young adults, Carotid artery dissection, Subarachnoid hemorrhage ARTICLE Source Type: research

Diagnosis of Spontaneous Cervical Artery Dissection May Be Associated with Increased Prevalence of Posttraumatic Stress Disorder
Background: Receiving information that one has a dissected cervical artery, which can cause a stroke at any time, is obviously traumatic, but details about the psychiatric and psychosocial sequelae are not known. We investigated the prevalence of and risk factors for posttraumatic stress disorder (PTSD) in patients with spontaneous cervical artery dissection (CD) and the impact of PTSD on their psychosocial functioning.Methods: Patients admitted because of CD between 2006 and 2010 were retrospectively examined using a diagnostic PTSD measure (Posttraumatic Diagnostic Scale). Patients between 2011 and 2012 were examined pro...
Source: Journal of Stroke and Cerebrovascular Diseases - July 12, 2013 Category: Neurology Authors: Verena Speck, Adam Noble, Rainer Kollmar, Thomas Schenk Tags: Original Articles Source Type: research

Etiology of first‐ever ischaemic stroke in European young adults: the 15 cities young stroke study
ConclusionsThe etiology of IS in young adults has clear gender‐specific patterns that change with age. A notable portion of these patients remains without an evident stroke mechanism according to TOAST criteria.
Source: European Journal of Neurology - July 10, 2013 Category: Neurology Authors: N. Yesilot Barlas, J. Putaala, U. Waje‐Andreassen, S. Vassilopoulou, K. Nardi, C. Odier, G. Hofgart, S. Engelter, A. Burow, L. Mihalka, M. Kloss, J. Ferrari, R. Lemmens, O. Coban, E. Haapaniemi, N. Maaijwee, L. Rutten‐Jacobs, A. Bersano, C. Cereda, P. Tags: Original Article Source Type: research

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