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Extracranial Cervical Artery Dissections

Jennifer J Robertson1, Alex Koyfman2

  • 1Department of Emergency Medicine, Emory University School of Medicine, 1648 Pierce Drive Northeast, Atlanta, GA 30307, USA.

Emergency Medicine Clinics of North America
|October 9, 2017
PubMed

Insights

Cervical artery dissections (CeAD), a rare cause of stroke in young adults, require prompt diagnosis via CT or MRI. Prognosis for CeAD is generally good but depends on initial symptom severity.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Radiology

Background:

  • Cervical artery dissections (CeAD), encompassing internal carotid and vertebral artery dissections, are uncommon yet significant causes of stroke.
  • CeAD is particularly relevant in younger patient populations presenting with stroke-like symptoms.

Purpose of the Study:

  • To highlight the importance of considering CeAD in patients with specific clinical presentations.
  • To emphasize the critical role of early diagnostic imaging in CeAD management.

Main Methods:

  • Review of clinical presentations suggestive of CeAD.
  • Importance of early diagnostic imaging, including computed tomography (CT) and magnetic resonance imaging (MRI).

Main Results:

  • CeAD should be suspected in patients with strokelike symptoms, new-onset headache, neck pain, or other risk factors.
  • Timely diagnosis through CT or MRI is crucial for appropriate management.

Conclusions:

  • Effective treatment strategies for CeAD depend on dissection extent, timing, and patient comorbidities.
  • While prognosis is generally favorable, it is influenced by the initial severity of symptoms.

Keywords:
CarotidCervicalDissectionStrokeVertebral

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