Association of Cervical Artery Dissection With Recent Infection

Grau, Armin J.; Brandt, Tobias; Buggle, Florian; Orberk, E.; Mytilineos, Joannis; Werle, E; Conradt, Christian; Krause, Martín; Winter, R.; Hacke, Werner

doi:10.1001/archneur.56.7.851

Cited by 234 publications

(184 citation statements)

References 38 publications

(24 reference statements)

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“…Considerou-se evento menor precipitante como movimento de rotação lateral, fl exão ou extensão cervical decorrente de atividade cotidiana, não associado a trauma 9 . Como infecção recente, foram consideradas as infecções de vias aéreas superiores e inferiores que ocorreram até 1 mês antes da DEACV 10 .…”

Section: Métodounclassified

Dissecção espontânea das artérias carótidas e vertebrais em uma população multiétnica

Pieri

Spitz

Valiente

et al. 2007

Arq. Neuro-Psiquiatr.

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RESUMO -A dissecção espontânea das artérias carótidas e vertebrais (DEACV) é considerada uma causa rara de acidente vascular cerebral, particularmente em países com população multiétnica. O objetivo desse estudo foi avaliar características clínicas e de neuroimagem dos pacientes com DEACV em uma população multiétnica. Foram estudados 66 pacientes com diagnóstico de DEACV em dois hospitais terciários de São Paulo. Aplicou-se um questionário inicial e os pacientes foram seguidos prospectivamente. Dos pacientes estudados, 82% eram brancos, 53% eram homens e a média de idade foi 41,7 anos. Os fatores de risco cardiovasculares mais freqüentes foram hipertensão arterial e tabagismo. Outros aspectos avaliados foram histó-ria prévia de enxaqueca, tratamento inicial e prognóstico. Concluiu-se que apesar da população estudada ser multiétnica, houve um marcante predomínio de brancos. A análise das características clínicas e de neuroimagem dos pacientes com DEACV possibilita um melhor conhecimento da doença, levando a um diagnóstico precoce e tratamento mais adequado.PALAVRAS-CHAVE: dissecação da artéria vertebral, dissecação da artéria carótida interna, acidente cerebrovascular, grupos étnicos. Spontaneous carotid and vertebral arteries dissection in a multiethnic populationABSTRACT -Spontaneous dissection of the carotid and vertebral arteries (SDCVA) is considered a rare cause of stroke, particularly in countries with multiethnic population. The objective was to evaluate the clinical and neuroimaging features of patients with SDCVA from a multiethnic population. Sixty-six patients diagnosed with SDCVA were studied at two tertiary hospitals at São Paulo. An initial questionnaire was completed and patients were followed prospectively. Among the patients studied, 82% were caucasian, 53% were male and the average age was 41.7 years old. The most frequent cardiovascular risk factors found were systemic hypertension and tobacco use. Other aspects evaluated were history of previous migraine, initial treatment and prognosis. In conclusion, although the population studied was multhiethnic, there was a marked predominance of caucasians. The analysis of clinical and neuroimaging data from patients with SDCVA allows a better understanding of the disease, leading to an earlier diagnosis and more appropriate treatment.KEY WORDS: vertebral artery dissection, carotid artery internal dissection, cerebrovascular disorder, ethnic groups. A dissecção espontânea das artérias carótidas e vertebrais (DEACV) caracteriza-se pela sua ruptura não traumática, entre as camadas arteriais, levando à redução do diâmetro da luz da artéria ou à formação de dilatação aneurismática . Novos estudos são necessários para o esclarecimento de dúvidas que ainda persistem quanto à etiologia, diagnóstico, tratamento e prognóstico dos pacientes com DEACV, especialmente em populações multiétnicas. O objetivo deste estudo foi descrever, a partir de uma série de casos, as características clínicas e os achados de neuroimagem mais freqüentemente observados nos pacientes ...

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Section: Métodounclassified

Dissecção espontânea das artérias carótidas e vertebrais em uma população multiétnica

Pieri

Spitz

Valiente

et al. 2007

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

show abstract

“…In community-based studies in the United States and France, the annual incidence of spontaneous ICA dissections ranged from 2.5 to 3 per 100,000 1,2 15 . Additionally, infections such as purulent tonsillitis, purulent and nonpurulent pharyngitis, otitis media and sinusitis have also been described as potential risk factors 16 . It may also occur during intubations for general anesthesia or cardiopulmonary resuscitation 4,[9][10][11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Dissection of Internal Carotid Artery Masquerading as Angioedema

2008

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“…1 The exact pathogenesis of non-traumatic CeAD remains unclear 6 -it is possible that stroke or death following cervical spine manual therapy may be associated with pre-existing vascular pathologies. 1,7 Kerry and Taylor 8 have advanced an argument that our collective focus on this issue should not be limited to highvelocity low amplitude (HVLA) thrust manipulation applied to the neck, as "The common denominator in the activities [non high-velocity thrust movements] indicated is cervical movement, thus the phenomenon might not be one of HVT [high velocity thrust], but of movement more generally" (p. 11).…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Manual therapy and cervical artery dysfunction: Identification of potential risk factors in clinical encounters

Vaughan

Moran

Tehan

et al. 2016

International Journal of Osteopathic Medicine

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Association of Cervical Artery Dissection With Recent Infection

Abstract: Our results suggest a significant association between recent infection and CAD that is not explained by mechanical factors occurring during infection.

Cited by 234 publications

References 38 publications

Dissecção espontânea das artérias carótidas e vertebrais em uma população multiétnica

Dissecção espontânea das artérias carótidas e vertebrais em uma população multiétnica

Spontaneous Dissection of Internal Carotid Artery Masquerading as Angioedema

Manual therapy and cervical artery dysfunction: Identification of potential risk factors in clinical encounters

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