Follow-Up of Patients with History of Cervical Artery Dissection

Leys, Didier; Moulin, T.; Stojkovic, T.; Begey, S.; Chavot, D.

doi:10.1159/000107817

Cited by 132 publications

(80 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A média de idade dos pacientes foi 41,7 anos (20 a 62 anos), compatível com dados da literatura que consideram a DEACV como uma doença de jovens com pico na quinta década de vida [15][16][17] .…”

Section: Discussionunclassified

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

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 ...

show abstract

Section: Discussionunclassified

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

“…Improvement in migraine and tension-type headache (TTH) after SCAD have been reported [5,9,10], however the possible interference of the use of prophylactic drugs has not been assessed.…”

Section: Introductionmentioning

confidence: 99%

Primary headaches and painful spontaneous cervical artery dissection

et al. 2007

View full text Add to dashboard Cite

The relation between primary headaches (PH) and pain related to spontaneous cervical artery dissection (SCAD) is still unclear, as well as the progress of PH after dissection. To investigate this relation, the characteristics of pain related to SCAD and changes in PH patterns after SCAD, we evaluated 54 consecutive patients. Thirty-five (65%) had previous PH. Painful SCAD occurred in 39 (72%). Frontal and parietal localizations were significantly associated with internal carotid artery dissection (p=0.013 and p=0.010, respectively), whereas occipital and nuchal pain, with vertebral artery dissection (p=0.047 and p<0.001, respectively). Previous PH did not influence the presence of pain at SCAD onset. Twenty-six (74%) patients with PH reported improvement in PH pattern after a mean follow-up of 32 months. These results suggest that mechanisms underlying PH do not modulate dissectionrelated pain. Disruption of perivascular afferents may be involved in improvement of PH patterns after SCAD.

show abstract

“…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] . Mechanical ventilation as a direct cause of ICA dissection has not been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%