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Separate Spontaneous Extracranial and Intracranial Left Internal Carotid Artery Dissections Causing an Acute Ischemic Stroke: A Case Report.
Cureus
September 2024
Stroke Medicine, King's Mill Hospital, Sutton-in-Ashfield, GBR.
We present a case of a 45-year-old man who suffered simultaneous intracranial and extracranial dissections within the same artery, ultimately leading to a large left-sided ischemic stroke. To our knowledge, this is the only reported case of multiple dissections of the same head or neck (cervicocephalic) artery. We discuss the current evidence and literature around the characteristics of patients who experience multiple cervicocephalic artery dissections.
View Article and Find Full Text PDFBehavior of Extracranial-to-Intracranial Extended Arterial Dissections of the Vertebral Artery.
J Am Heart Assoc
May 2024
Department of Neurology Ajou University School of Medicine, Ajou University Medical Center Suwon South Korea.
Background: Vertebral artery dissections (VADs) may extend from the extracranial to the intracranial vasculature (e+iVAD). We evaluated how the characteristics of e+iVAD differed from those of intracranial VAD (iVAD).
Methods And Results: From 2002 to 2019, among consecutive patients with cervicocephalic dissection, those with iVAD and e+iVAD were included, and their clinical characteristics were compared.
Spontaneous triple vessel cervicocephalic artery dissection in a young gentleman: A case report.
Qatar Med J
February 2024
Department of Neurology, Hamad General Hospital, Hamad Medical Corporation, Doha Qatar.
Introduction: Cervicocephalic arterial dissections (CADs) occur in 3 cases per 100,000 individuals across all ages. Multiple simultaneous CADs are found in 13 to 22% of cases, and three or more dissections occur in approximately 2%. CADs might result from multifactorial intrinsic deficiencies of vessel wall integrity and extrinsic factors, e.
View Article and Find Full Text PDFPersistent headache attributed to past cervicocephalic artery dissection: clinical characteristics and contributors to headache persistence.
Cephalalgia
February 2023
Neurology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal.
Background: Persistent headache/facial/neck pain attributed to past cervicocephalic arterial dissection is under-documented in literature. Our main goal was to evaluate clinical characteristics and contributors to this persistence.
Methods: A retrospective cohort study which included patients with a radiologically confirmed cervicocephalic arterial dissection (2015-2020) in a Portuguese tertiary hospital.
Influence of endothelial function and arterial stiffness on the behavior of cervicocephalic arterial dissections: An observational study.
Front Neurol
August 2022
Department of Neurology, Ajou University School of Medicine, Suwon-si, South Korea.
Background: The mechanical and physiological properties of the arterial wall might affect the behavior of spontaneous cervicocephalic arterial dissections (CCAD). We aimed to determine the effects of endothelial function and arterial stiffness on the clinical characteristics and outcomes of CCAD using brachial flow-mediated dilation (FMD) and brachial-ankle pulse wave velocity (PWV).
Methods: From a single-center database, we identified patients admitted from April 2011 to December 2021 with a diagnosis of CCAD who underwent both FMD and PWV.
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