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Updated: Sep 24, 2025

A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis
09:36

A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis

Published on: August 12, 2025

123

A review of carotid and vertebral artery dissection

Michael Clark1, Sudhakar Unnam2, Sandip Ghosh1

  • 1Department of Stroke Medicine, University Hospital Crosshouse, Kilmarnock, UK.

British Journal of Hospital Medicine (London, England : 2005)
|May 4, 2022
PubMed

Insights

Cervical artery dissection, a stroke cause in young adults, presents with subtle symptoms. Early recognition and antithrombotic treatment are crucial for preventing recurrent strokes.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Emergency Medicine

Background:

  • Cervical artery dissection (CAD) is a significant cause of ischemic stroke, particularly in young adults.
  • Diagnosis of CAD can be difficult due to non-specific presenting symptoms like headache, neck pain, or dizziness.
  • Untreated CAD can lead to devastating neurological consequences, including transient ischemic attack, vision loss, and stroke.

Purpose of the Study:

  • To provide clinicians with practical information for recognizing risk factors and clinical features suggestive of cervical artery dissection.
  • To emphasize the importance of timely diagnosis and management of CAD.
  • To review current diagnostic modalities and treatment recommendations for CAD.

Main Methods:

  • Literature review focusing on risk factors, clinical presentation, diagnostic imaging, and treatment of cervical artery dissection.
  • Synthesis of information to guide clinicians in identifying and managing patients with suspected CAD.

Main Results:

  • Key historical and examination findings that should raise suspicion for CAD are identified.
  • Non-invasive imaging techniques, specifically computed tomography angiography (CTA) and magnetic resonance angiography (MRA), are highlighted as effective diagnostic tools.
  • Antithrombotic treatment is confirmed to reduce the risk of stroke recurrence in patients with CAD.

Conclusions:

  • Prompt recognition of CAD by hospital clinicians is essential for timely intervention.
  • Utilizing readily available imaging like CTA and MRA facilitates accurate diagnosis.
  • Initiating antithrombotic therapy promptly significantly lowers the risk of recurrent ischemic stroke.

Keywords:
Carotid artery dissectionCervical artery dissectionVertebral artery dissectionYoung stroke

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