Recurrent versus first cervical artery dissection - a retrospective study of clinical and vascular characteristics

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dc.contributor.author Kloss, M.
dc.contributor.author Kalashnikova, L.
dc.contributor.author Dobrynina, L.
dc.contributor.author Traenka, C.
dc.contributor.author Engelter, S. T.
dc.contributor.author Metso, T. M.
dc.contributor.author Tatlisumak, T.
dc.contributor.author Urbanek, C.
dc.contributor.author Grau, A.
dc.contributor.author Kellert, L.
dc.contributor.author Brandt, T.
dc.contributor.author Wieker, C. M.
dc.contributor.author Grond-Ginsbach, C.
dc.contributor.author Pezzini, A.
dc.date.accessioned 2021-07-21T22:40:44Z
dc.date.available 2021-12-18T03:45:58Z
dc.date.issued 2020-11
dc.identifier.citation Kloss , M , Kalashnikova , L , Dobrynina , L , Traenka , C , Engelter , S T , Metso , T M , Tatlisumak , T , Urbanek , C , Grau , A , Kellert , L , Brandt , T , Wieker , C M , Grond-Ginsbach , C & Pezzini , A 2020 , ' Recurrent versus first cervical artery dissection - a retrospective study of clinical and vascular characteristics ' , European Journal of Neurology , vol. 27 , no. 11 , pp. 2185-2190 . https://doi.org/10.1111/ene.14417
dc.identifier.other PURE: 143464511
dc.identifier.other PURE UUID: b281310f-c161-4e64-83e5-266979d9deaf
dc.identifier.other WOS: 000550714900001
dc.identifier.uri http://hdl.handle.net/10138/332516
dc.description.abstract Background and purpose Most recurrent cervical artery dissection (CeAD) events occur shortly after the acute first CeAD. This study compared the characteristics of recurrent and first CeAD events and searched for associations between subsequent events of an individual person. Methods Cervical artery dissection patients with a new CeAD event occurring during a 3-6 month follow-up were retrospectively selected in seven specialized stroke centers. Clinical and vascular characteristics of the initial and the recurrent CeADs were compared. Results The study sample included 76 patients. Recurrent CeADs were occlusive in one (1.3%) patient, caused cerebral ischaemia in 13 (17.1%) and were asymptomatic in 39 (51.3%) patients, compared to 29 (38.2%) occlusive, 42 (55.3%) ischaemic and no asymptomatic first CeAD events. In 52 (68.4%) patients, recurrent dissections affected both internal carotid arteries or both vertebral arteries, whilst 24 (31.6%) patients had subsequent dissections in both types of artery. Twelve (28.6%) of 42 patients with an ischaemic first dissection had ischaemic symptoms due to the recurrent CeADs, too. However, only one (1.3%) of 34 patients with a non-ischaemic first CeAD suffered ischaemia upon recurrence. Conclusion Recurrent CeAD typically affects the same site of artery. It causes ischaemic events less often than the first CeAD. The risk that patients who presented with solely non-ischaemic symptoms of a first CeAD will have ischaemic symptoms in the case of a recurrent CeAD seems very small. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof European Journal of Neurology
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject arterial dissection
dc.subject epidemiology
dc.subject cerebrovascular diseases and cerebral circulation
dc.subject cerebral infarction
dc.subject STROKE
dc.subject ENDARTERECTOMY
dc.subject RISK
dc.subject 3112 Neurosciences
dc.subject 3124 Neurology and psychiatry
dc.title Recurrent versus first cervical artery dissection - a retrospective study of clinical and vascular characteristics en
dc.type Article
dc.contributor.organization HUS Neurocenter
dc.contributor.organization Neurologian yksikkö
dc.contributor.organization Helsinki University Hospital Area
dc.contributor.organization Department of Neurosciences
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1111/ene.14417
dc.relation.issn 1351-5101
dc.rights.accesslevel openAccess
dc.type.version acceptedVersion

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