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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
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[Cervicocranial arterial dissection. Experience in 57 patients].
Andrés Gallardo V1, René Núñez F2, Osvaldo Trujillo1
1Servicio de Neurología Clínica INDISA, Santiago, Chile.
Revista Medica De Chile
|March 23, 2022
Summary
Cervicocranial arterial dissection (CIAD) often presents without stroke symptoms, enabling earlier management. This study details CIAD patient characteristics, revealing a high rate of favorable outcomes with timely treatment.
Area of Science:
- Neurology
- Vascular Medicine
- Radiology
Background:
- Cervicocranial arterial dissection (CIAD) is a significant cause of ischemic stroke.
- Understanding CIAD's clinical and imaging features is crucial for timely diagnosis and management.
Purpose of the Study:
- To characterize the clinical and imaging presentation of patients diagnosed with cervicocranial arterial dissection (CIAD).
- To analyze patient outcomes and treatment strategies for CIAD.
Main Methods:
- A retrospective analysis of an anonymous registry of patients diagnosed with CIAD.
- Patients were categorized into anterior circulation dissection (ACD) and posterior circulation dissection (PCD) groups.
- Clinical data, imaging findings, and treatment outcomes were collected and analyzed.
Main Results:
- Fifty-seven patients (40 ± 8 years, 60% women) were included, with 39 in the PCD group and 18 in the ACD group.
- Cervical pain was the most frequent symptom; 49% of patients had no stroke symptoms at diagnosis.
- A favorable outcome (Modified Rankin Scale 0-2) was achieved in 85.9% of patients, with a trend towards better prognosis in PCD.
Conclusions:
- The increased availability of non-invasive imaging allows for the diagnosis of CIAD in 50% of patients without overt stroke.
- Earlier detection and timely management of CIAD are feasible, potentially improving patient outcomes.
