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Epidemiology of cervical artery dissection
1Maxine Dunitz Neurosurgical Institute and Department of Neurology, Cedars-Sinai Medical Center, Los Angeles, Calif., USA.
Frontiers of Neurology and Neuroscience
|February 10, 2007
Summary
Spontaneous cervical artery dissection (CAD) is a common cause of stroke in young adults, occurring in about 5 per 100,000 people annually. While long-term recurrence is low, it increases with familial arterial disease.
Area of Science:
- Neurology
- Vascular Medicine
- Epidemiology
Background:
- Cervical artery dissection (CAD) diagnosis is increasingly common.
- Spontaneous CAD accounts for up to 25% of strokes in young patients.
- The condition's incidence peaks in the autumn season.
Purpose of the Study:
- To summarize the diagnostic routine and epidemiological characteristics of cervical artery dissection.
- To highlight the significance of spontaneous CAD in young stroke patients.
- To present data on the incidence and recurrence rates of CAD.
Main Methods:
- Review of diagnostic protocols for cervical artery dissection.
- Epidemiological analysis of spontaneous CAD incidence.
- Long-term follow-up data on CAD recurrence rates.
Main Results:
- Spontaneous cervical artery dissection (CAD) is a frequent cause of stroke in young individuals, responsible for up to one-fourth of cases.
- The annual incidence of spontaneous CAD is approximately 5 per 100,000 individuals.
- Long-term recurrence rates for CAD are low at approximately 1% per year, but elevated in those with familial arterial disease.
Conclusions:
- Cervical artery dissection is a routinely diagnosed condition with significant implications for young stroke patients.
- While recurrence is uncommon, familial predisposition warrants consideration.
- Understanding CAD incidence and risk factors is crucial for patient management.
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