Cervical artery dissection

Abstract

Spontaneous and traumatic cervical artery dissection is a common cause of stroke in the young. It generally carries an excellent prognosis if treatment is initiated early. Antiplatelet therapy may be as effective as or safer than warfarin, although no randomized prospective studies have addressed the issue of optimal medical therapy. Rarely, endovascular therapy may be indicated for the treatment of ruptured aneurysms or to prevent recurrent ischemia.

Differenzialdiagnostik seltener Schlaganfallursachen

“…Selten kommt es nach traumatischen Dissektionen zur Ausbildung eines Pseudo-oder echten Aneurysmata. Neuere Studien belegen, dass die früher gefürchtete Embolisierungsgefahr hieraus gering und der Verlauf trotz Ausbildung von Aneurysmen günstig sind [42]. Die sehr seltene Dissektion der Arteria subclavia, z.…”

Interventional management for secondary intracranial extension of spontaneous cervical arterial dissection

“…There is a peak incidence in the fifth decade of life, with women presenting approximately five years earlier 16. Carotid artery spontaneous dissection usually presents with nonischemic symptoms such as oculo-sympathetic palsy (partial Horner’s syndrome) and neck pain, and approximately 50% of patients will experience a stroke 11216. The common presenting symptom of posterior circulation spontaneous dissection is posterior neck pain and occipital headache, less frequently pulsatile tinnitus and cervical radiculopathy,3 and up to 90% of these patients will have associated ischemia in one or multiple vascular territories 16.…”