carotid artery dissection

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Etiology

Epidemiology

  • accounts for 25% of strokes in young & middle-age patients
  • occurs most frequently in the fifth decade of life
  • annual incidence of spontaneous dissection 0.003%
  • incidence of traumatic dissection < 1-3%[2]

Pathology

Clinical manifestations

Laboratory

Diagnostic procedures

Radiology

Complications

Management

More general terms

Additional terms

References

  1. Jump up to: 1.0 1.1 Georgiadis D et al Aspirin vs anticoagulation in carotid artery dissection: A study of 298 patients. Neurology 2009 May 26; 72:1810. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19321846
    Kasner SE and Dreier JP. A fresh twist on carotid artery dissections. Neurology 2009 May 26; 72:1800. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19321842
  2. Jump up to: 2.0 2.1 2.2 2.3 Zohrabian D and Leber MD Dissection, Carotid Artery eMedicine: Emergency Medicine http://emedicine.medscape.com/article/757906-overview
  3. Kidwell CS and Burgess RE Dissection Syndromes eMedicine: Neurology http://emedicine.medscape.com/article/1160482-overview
  4. Wikipedia: Carotid artery dissection http://en.wikipedia.org/wiki/Carotid_artery_dissection
  5. Jump up to: 5.0 5.1 5.2 5.3 5.4 Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18, 19. American College of Physicians, Philadelphia 2012, 2015, 2018, 2021.
  6. Caplan LR. Dissections of brain-supplying arteries. Nat Clin Pract Neurol. 2008 Jan;4(1):34-42 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18199995
  7. Jump up to: 7.0 7.1 7.2 The CADISS trial investigators. Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection (CADISS): A randomised trial. Lancet Neurol 2015 Feb 12 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25684164 <Internet> http://www.thelancet.com/journals/laneur/article/PIIS1474-4422%2815%2970018-9/abstract
  8. Jump up to: 8.0 8.1 Traenka C, Dougoud D, Simonetti BG et al. Cervical artery dissection in patients >= 60 years: Often painless, few mechanical triggers. Neurology 2017 Apr 4; 88:1313 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28258079 <Internet> http://www.neurology.org/content/88/14/1313
  9. Jump up to: 9.0 9.1 9.2 Markus HS, Levi C, King A et al Antiplatelet Therapy vs Anticoagulation Therapy in Cervical Artery Dissection. The Cervical Artery Dissection in Stroke Study (CADISS) Randomized Clinical Trial Final Results. JAMA Neurol. Published online February 25, 2019 PMID: https://www.ncbi.nlm.nih.gov/pubmed/3080162 https://jamanetwork.com/journals/jamaneurology/fullarticle/2725385
  10. Jump up to: 10.0 10.1 NEJM Knowledge+ Question of the Week Feb 18, 2020 https://knowledgeplus.nejm.org/question-of-week/1356/
    Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 2001 Mar 22; 344:898. https://www.nejm.org/doi/full/10.1056/NEJM200103223441206
    Baumgartner R, Bogousslavsky J. Clinical manifestations of carotid dissection. Front Neurol Neurosci. 2005;20:70-76. doi:http://dx.doi.org/ 10.1159/000088151. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17290113
  11. Jump up to: 11.0 11.1 Engelter ST et al. Aspirin versus anticoagulation in cervical artery dissection (TREAT-CAD): An open-label, randomised, non-inferiority trial. Lancet Neurol 2021 Mar 22; [e-pub]. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33765420 https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(21)00044-2/fulltext