Cervicocephalic arterial dissections. A ten-year experience

Arch Neurol. 1986 Dec;43(12):1234-8. doi: 10.1001/archneur.1986.00520120019010.

Abstract

Between April 1976 and April 1986, cervicocephalic arterial dissections were diagnosed in 19 of 4531 patients undergoing cerebral arteriography for acute cerebrovascular symptoms. Most dissections were extracranial. Spontaneous cases were as frequent as those following known trauma. Cerebral infarction was the most common presentation. Thirteen patients received only medical therapy, and six had surgery. Most patients survived the initial insult. Many questions remain to be answered regarding the optimal management of this condition, but treatment should be individualized based on clinical status, computed tomography, and angiographic findings.

MeSH terms

  • Adult
  • Aged
  • Aneurysm, Dissecting / diagnostic imaging*
  • Aneurysm, Dissecting / drug therapy
  • Aneurysm, Dissecting / surgery
  • Anticoagulants / therapeutic use
  • Arteries
  • Carotid Artery Diseases / diagnostic imaging*
  • Carotid Artery Diseases / drug therapy
  • Carotid Artery Diseases / surgery
  • Cerebral Angiography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Muscles / blood supply*
  • Neck Muscles / blood supply*

Substances

  • Anticoagulants