cervical artery dissection
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Classification
Etiology
- risk factors
Clinical manifestations
- Horner syndrome
- patients >= 60 years of age less likely to present with cervical pain (RR=0.47), headache (RR=0.58), or history of mechanical triggers (RR=0.53)[3]
Complications
Management
- aspirin is not non-inferior to vitamin K antagonist (warfarin)[4]
- anticoagulants & antiplatelet agents similarly effective in preventing recurrent events[5]
More specific terms
References
- ↑ 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
- ↑ Kennedy F, Lanfranconi S, Hicks C et al Antiplatelets vs anticoagulation for dissection: CADISS nonrandomized arm and meta-analysis. Neurology. 2012 Aug 14;79(7):686-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22855862
- ↑ 3.0 3.1 3.2 3.3 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
- ↑ 4.0 4.1 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
- ↑ 5.0 5.1 Kaufmann JE et al. Antithrombotic treatment for cervical artery dissection: A systematic review and individual patient data meta-analysis. JAMA Neurol 2024 Jun; 81:630. PMID: https://www.ncbi.nlm.nih.gov/pubmed/38739383 PMCID: PMC11091821 (available on 2025-05-13) https://jamanetwork.com/journals/jamaneurology/fullarticle/2818521