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Research progress of cervicocerebral artery dissection, from mechanism to clinic: A scoping review
Hui Cheng1, Bingcheng Pan1, Huanjie Li2
1Neurology, Nanhai Hospital of Traditional Chinese Medicine, Jinan University, Foshan 528200, China.
Insights
Cervicocerebral artery dissection (CAD) affects young people with varied symptoms. This review comprehensively covers CAD
Area of Science:
- Neurology
- Vascular Medicine
- Diagnostic Imaging
Background:
- Cervicocerebral artery dissection (CAD) is a significant cause of stroke in young adults.
- Clinical presentation of CAD is nonspecific, ranging from ischemic to hemorrhagic events.
- Accurate diagnosis relies heavily on advanced imaging techniques due to varied lesion characteristics.
Purpose of the Study:
- To provide a comprehensive overview of cervicocerebral artery dissection (CAD).
- To discuss the latest advancements in the etiology, pathogenesis, and treatment of CAD.
- To consolidate current knowledge on clinical characteristics and diagnostic methods for CAD.
Main Methods:
- Systematic review of current literature on cervicocerebral artery dissection (CAD).
- Analysis of etiological factors, pathogenic mechanisms, and clinical presentations.
- Evaluation of diagnostic imaging modalities and therapeutic strategies, including anti-thrombotic therapy.
Main Results:
- CAD presents with diverse clinical manifestations, necessitating precise imaging for diagnosis.
- Anti-thrombotic therapy remains the cornerstone of CAD treatment, with limited evidence for venous thrombolysis.
- Ongoing research continuously refines understanding of CAD pathogenesis and surgical interventions.
Conclusions:
- A thorough understanding of CAD etiology, pathogenesis, and clinical features is crucial for timely diagnosis and management.
- Further research is needed to clarify the role of interventions like venous thrombolysis.
- This review synthesizes current knowledge, highlighting areas for future investigation in cervicocerebral artery dissection.
Abstract:
Cervicocerebral artery dissection (CAD) commonly occurs in young individuals, and its clinical manifestations lack specificity. It can present as either ischemic or hemorrhagic events. Due to variations in the location, timing of formation, and severity of the lesion in CAD, clinical presentations vary widely, making imaging crucial for accurate diagnosis. Currently, the primary treatment for CAD focuses on anti-thrombotic therapy, and evidence supporting venous thrombolysis is still inconclusive. With advancements in scientific technology, the concepts of the etiology and surgical treatment of CAD continue to evolve over time. As of now, the literature on CAD has experienced an exponential growth in the number of articles. However, there is still a lack of comprehensive discussion on the latest perspectives regarding the pathogenic mechanisms and treatment approaches for CAD. This study combines discussions on the etiology, pathogenesis, clinical characteristics, auxiliary examinations, and treatment of CAD, aiming to provide readers with a comprehensive understanding of CAD.
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