Abstract WP173: Characteristics and Prognostic Factors for the Imaging Outcomes in Cervicocerebral Artery Dissection

Stroke ◽  
2019 ◽  
Vol 50 (Suppl_1) ◽  
Author(s):  
Jun Lee ◽  
Min-Gyeong Kim ◽  
Da-Eun Jeong
Keyword(s):  
Prognostic Factors ◽  
Artery Dissection ◽  
Cervicocerebral Artery Dissection

Characteristics and relative factors of headache caused by cervicocerebral artery dissection

2018 ◽  
Vol 266 (2) ◽  
pp. 298-305 ◽  
Author(s):  
Yuhan Wang ◽  
Wenchao Cheng ◽  
Yajun Lian ◽  
Jing Zhang ◽  
Yake Zheng ◽  
...  
Keyword(s):  
Artery Dissection ◽  
Cervicocerebral Artery Dissection ◽  
Relative Factors

scholarly journals Predisposing factors and radiological features in patients with internal carotid artery dissection or vertebral artery dissection

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yongjun Wu ◽  
Hongbin Chen ◽  
Shihui Xing ◽  
Shuangquan Tan ◽  
Xinran Chen ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
Vertebral Artery Dissection ◽  
Carotid Artery Dissection ◽  
Predisposing Factors ◽  
Artery Dissection ◽  
Intracranial Artery ◽  
Internal Carotid Artery Dissection ◽  
Radiological Features ◽  
Cervicocerebral Artery Dissection

Abstract Background Cervicocerebral artery dissection is an important cause of ischemic stroke in young and middle-aged individuals. However, very few studies have compared the differential features between internal carotid artery dissection (ICAD) and vertebral artery dissection (VAD), including both cervical and intracranial artery dissections. We conducted a study to investigate the predisposing factors and radiological features in patients with ICAD or VAD. Methods All cases diagnosed with cervicocerebral artery dissection, ICAD, or VAD were identified through a medical records database, between January 2010 and January 2020. Baseline characteristics, predisposing factors, and radiological features of ICAD versus VAD were compared. Results A total of 140 patients with cervicocerebral artery dissection were included in the study, including 84 patients in the ICAD group and 56 in the VAD group. The mean age of patients in the ICAD and VAD groups was 43.37 ± 14.01 and 41.00 ± 12.98 years old, respectively. Patients with ICAD were more likely to be men compared with VAD (85.71% vs. 67.86%, p = 0.012). The frequency of hypertension, diabetes, smoking, drinking, and cervical trauma did not differ between ICAD and VAD. Dissections of ICAD were more frequently at the extracranial portions of the artery compared with those of VAD (70.24% vs. 44.64%, p = 0.003). In contrast, dissections of VAD were more common in the intracranial artery (55.36% vs. 29.76%, p = 0.003). Radiologically, double lumen (36.90% vs. 19.64%, p = 0.029) and intimal flap (11.90% vs. 1.79%, p = 0.029) were more frequently observed in ICAD than in VAD, and dissecting aneurysms were less frequent (13.10% vs. 26.79%, p = 0.041). Conclusions The distributions of cervical and intracranial artery dissections were different between ICAD and VAD. The frequencies of radiological features detected in patients with ICAD and VAD also differed.

Cervicocerebral artery dissection

2015 ◽  
Vol 30 (6) ◽  
pp. 603-610 ◽  
Author(s):  
Jorge Ortiz ◽  
Sean Ruland
Keyword(s):  
Artery Dissection ◽  
Cervicocerebral Artery Dissection

A case–control study of the determinants for cervicocerebral artery dissection

2018 ◽  
Vol 266 (1) ◽  
pp. 119-123
Author(s):  
Wenchao Cheng ◽  
Yuhan Wang ◽  
Yajun Lian ◽  
Jing Zhang ◽  
Yake Zheng ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Artery Dissection ◽  
Cervicocerebral Artery Dissection ◽  
Control Study

Outcomes and prognostic factors of intracranial unruptured vertebrobasilar artery dissection

Neurology ◽  
2011 ◽  
Vol 76 (20) ◽  
pp. 1735-1741 ◽  
Author(s):  
B. M. Kim ◽  
S. H. Kim ◽  
D. I. Kim ◽  
Y. S. Shin ◽  
S. H. Suh ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Artery Dissection ◽  
Vertebrobasilar Artery

scholarly journals Predictors of Ischemic Events Secondary to Cervicocerebral Artery Dissection

2019 ◽  
Author(s):  
Wenchao Cheng ◽  
Yuhan Wang ◽  
Yajun Lian ◽  
Yake Zheng ◽  
Yinping Shi ◽  
...  
Keyword(s):  
Clinical Data ◽  
Multivariate Logistic Regression Analysis ◽  
Artery Dissection ◽  
Anterior Circulation ◽  
Ischemic Event ◽  
Key Word ◽  
Cervicocerebral Artery Dissection ◽  
Ischemic Events ◽  
Control Study ◽  
Headache And Neck Pain

Abstract Objective : To identify the predictors of ischemic events secondary to cervicocerebral artery dissection (CAD). Methods : Consecutive patients with cervicocerebral artery dissection from 2010 to 2017 were registered as study subjects, who were classified as patients with and without ischemic events. Clinical data were collected prospectively, such as demographics, vascular risk factors, headache and neck pain, dissection site and laboratory test. A case-control study was performed to compare the clinical data between two groups. Results : A total of 130 patients with cervicocerebral artery dissection were included, in which 70.0% (91/130) suffered from ischemic events, including 81 ischemic strokes and 10 transient ischemic attacks. There were 46.2% (42/91) and 25.6% (10/39) of the artery dissections located in the anterior circulation in the CAD patients with and without ischemic events respectively ( p =0.029). The average level of HDL was (1.14±0.38) mmol/L in the CAD patients with ischemic events, and (1.28±0.48) mmol/L in the CAD patients without ischemic events ( p =0.083). Multivariate logistic regression analysis showed that there was a positive correlation between anterior circulation and ischemic events (OR=3.204, 95% CI 1.305-7.863, p =0.011) and HDL level was negatively correlated with ischemic events (OR=0.335, 95% CI 0.130-0.867, p =0.024) in CAD patients. Conclusion : Ischemic events are common complications of cerebrovascular disease in CAD patients, especially for those with an artery dissection located in the anterior circulation and low serum HDL level. Key Word : cervicocerebral artery dissection, ischemic event, HDL, anterior circulation, predictor

scholarly journals Predictors of Ischemic Events Secondary to Cervicocerebral Artery Dissection

2019 ◽  
Author(s):  
Wenchao Cheng ◽  
Yuhan Wang ◽  
Yajun Lian ◽  
Yake Zheng ◽  
Yinping Shi ◽  
...  
Keyword(s):  
Clinical Data ◽  
Multivariate Logistic Regression Analysis ◽  
Artery Dissection ◽  
Anterior Circulation ◽  
Ischemic Event ◽  
Key Word ◽  
Cervicocerebral Artery Dissection ◽  
Ischemic Events ◽  
Control Study ◽  
Headache And Neck Pain

Abstract Objective: To identify the predictors of ischemic events secondary to cervicocerebral artery dissection (CAD). Methods: Consecutive patients with cervicocerebral artery dissection from 2010 to 2017 were registered as study subjects, who were classified as patients with and without ischemic events. Clinical data were collected prospectively, such as demographics, vascular risk factors, headache and neck pain, dissection site and laboratory test. A case-control study was performed to compare the clinical data between two groups. Results: A total of 130 patients with cervicocerebral artery dissection were included, in which 70.0% (91/130) suffered from ischemic events, including 81 ischemic strokes and 10 transient ischemic attacks. There were 46.2% (42/91) and 25.6% (10/39) of the artery dissections located in the anterior circulation in the CAD patients with and without ischemic events respectively (p=0.029). The average level of HDL was (1.14±0.38) mmol/L in the CAD patients with ischemic events, and (1.28±0.48) mmol/L in the CAD patients without ischemic events (p=0.083). However, no significant differences were found in the other clinical data. Multivariate logistic regression analysis showed that there was a positive correlation between anterior circulation and ischemic events (OR=3.204, 95% CI 1.305-7.863, p=0.011) and HDL level was negatively correlated with ischemic events (OR=0.335, 95% CI 0.130-0.867, p=0.024) in CAD patients. Conclusion: Ischemic events are common complications of cerebrovascular disease in CAD patients, especially for those with an artery dissection located in the anterior circulation and low serum HDL level. Key Word: cervicocerebral artery dissection, ischemic event, HDL, anterior circulation, predictor

Abstract TP213: Initial Vascular Lesion Patterns on Early Images Would Predict Vascular Outcomes in Acute Cerebral Artery Dissection

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Jun Lee ◽  
Jungim Gwon ◽  
Mingyeong Kim
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Vascular Lesion ◽  
Vascular Imaging ◽  
Vascular Lesions ◽  
Artery Dissection ◽  
Imaging Features ◽  
Imaging Characteristics ◽  
Cerebellar Artery ◽  
Cervicocerebral Artery Dissection

Introduction: Imaging characteristics and prognosis on the follow-up imaging in patients with acute cervicocerebral artery dissection are not well established. Hypothesis: Initial lesion patterns on early vascular imaging would predict vascular imaging outcomes in acute cervicocerebral artery dissection. Methods: Individual clinical data and imaging features were obtained from 167 consecutive patients who presented with acute ischemic symptoms or headache due to cervicocerebral artery dissection. Patients were categorized according to their baseline vascular imaging features as either Stenosis Only, Aneurysm Only, or Both Stenosis and Aneurysm. The angiographic characteristics and improvements of early vascular lesions between baseline (within 7 days after symptoms onset) and follow-up vascular images (6-month or 1-year after symptom onset) were compared. Results: A total of 76 patients who underwent baseline and 6-month or 1-year vascular imaging were included. Patients in the Stenosis Only group (n=36) were younger (mean age, 45±11) than those in the Aneurysm Only (n=9, 55±7) and Both Stenosis and Aneurysm (n=31, 48±12) groups (p=0.044). The most common sites of lesions were the distal vertebral artery and posterior inferior cerebellar artery (n=43, 57%). All patients in Aneurysm Only group had their lesions in the posterior circulation (61% in Stenosis Only, 77% in Both Stenosis and Aneurysm; p=0.047). A total of 43 patients (57%) showed improvement of initial lesions on follow-up vascular images (58% in Stenosis Only vs. 22% in Aneurysm Only vs. 65% in Both Stenosis and Aneurysm; p=0.076). The proportion of patients who obtained improvements on follow-up vascular images on baseline images was lower in Aneurysm Only compared with groups with stenosis (Stenosis Only and Both Stenosis and Aneurysm) (Odds ratio 0.18, 95% CI 0.03 to 0.94; p=0.035). Conclusions: Complete or partial improvements on follow-up images are obtained in over half of the patients with acute cervicocerebral artery dissection. Patients with only aneurysm on early images showed poor imaging prognosis compared to patients with stenosis.

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