Presentation of cerebral and cervical arterial dissections in Botucatu, Brazil: case series

Abstract Spontaneous dissection of the cervical and cerebral arteries is an important cause of stroke and disability in young patients. In this report, the authors present a case series of patients with spontaneous carotid, vertebral, or cerebral artery dissection who underwent digital angiography. A review of the published literature on this subject is also presented.

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Clinical and Imaging Analysis of Cerebral Infarction Caused by Spontaneous Cerebral Artery Dissection Based on Augmented Reality Technology

Journal of Healthcare Engineering ◽

10.1155/2021/6671121 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Yinghai Wang ◽

Kedong Duan ◽

Aihua Zhang ◽

Yaping Lv ◽

Dahai Cao

Keyword(s):

Cerebral Infarction ◽

Human Health ◽

Cerebral Artery ◽

Artery Dissection ◽

Prevention Measures ◽

Damage Rate ◽

Augmented Reality Technology ◽

Cardiovascular Biomarker ◽

Cerebral Artery Dissection ◽

Spontaneous Dissection

In recent years, with the progress of population ageing, the incidence of a stroke caused by spontaneous dissection of the cerebral artery also increases with time. In order to address the health damage caused by a stroke caused by spontaneous dissection of the cerebral artery and to study its effect on human health, this article analyzes the incidence, type, electrocardiogram, and cardiovascular biomarker changes of cerebral infarction through statistical analysis and then discusses cerebral infarction. The pathogenesis and prevention measures of the disease are expected to provide better means for the treatment of cerebral infarction. Based on the case investigation of patients with cerebral infarction caused by spontaneous cerebral artery dissection, a case template was constructed, and a damage assessment matrix was created using a comprehensive quantitative and qualitative analysis method. Experimental results prove that cerebral infarction caused by spontaneous cerebral artery dissection is a great threat to human health, and the fatality rate of patients is extremely high. Enhanced imaging technology is of great help to clinical and image analysis, with a correlation coefficient of 0.87, compared with the other damage rate of cerebral infarction caused by spontaneous cerebral artery dissection which is about 15% higher than that of cerebral infarction caused by different methods. Studies have found that there are great differences in the age of people with cerebral infarction caused by spontaneous cerebral artery dissection, and the patients are generally over 45 years old. This shows that cerebral infarction caused by spontaneous cerebral artery dissection will cause great damage and affect people's health, which requires people’s attention.

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Republished: Monotherapy with stenting in subarachnoid hemorrhage (SAH) after middle cerebral artery dissection

Journal of NeuroInterventional Surgery ◽

10.1136/neurintsurg-2014-011596.rep ◽

2015 ◽

Vol 8 (4) ◽

pp. e13-e13 ◽

Cited By ~ 4

Author(s):

Ajit S Puri ◽

Matthew J Gounis ◽

Francesco Massari ◽

Mary Howk ◽

John Weaver ◽

...

Keyword(s):

Subarachnoid Hemorrhage ◽

Middle Cerebral Artery ◽

Cerebral Artery ◽

Case Reports ◽

Case Series ◽

Postoperative Recovery ◽

Artery Dissection ◽

Anterior Circulation ◽

Acute Headache ◽

Cerebral Artery Dissection

Isolated middle cerebral artery dissection is a rare clinical entity, with descriptions limited to a few case reports and case series. Symptomatic dissection in the anterior circulation can present as an ischemic stroke in a young population; however, it is rarely associated with subarachnoid hemorrhage. We describe a young patient who presented with acute headache from a subarachnoid hemorrhage that was ultimately determined to be due to a vascular dissection in the middle cerebral artery. The initial angiogram showed vascular irregularities in this area with stenosis. Repeat imaging 4 days after presentation identified a pseudoaneurysm proximal to the stenosis. The patient was successfully treated with a self-expanding nitinol stent and followed up with serial angiography during postoperative recovery in the hospital; additional angiograms were performed approximately 1 and 6 months after treatment. Serial angiograms demonstrated incremental healing of the dissection. The patient was discharged and remains neurologically intact at the 6-month follow-up.

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Spontaneous Middle Cerebral Artery Dissection Demonstrated by High-Resolution T1-Weighted 3D Image

Cerebrovascular Diseases ◽

10.1159/000353873 ◽

2013 ◽

Vol 36 (3) ◽

pp. 243-244 ◽

Cited By ~ 4

Author(s):

Masahiro Uemura ◽

Yasuhisa Akaiwa ◽

Masafumi Toriyabe ◽

Takuya Mashima ◽

Kenshi Terajima ◽

...

Keyword(s):

High Resolution ◽

Middle Cerebral Artery ◽

Cerebral Artery ◽

Artery Dissection ◽

3D Image ◽

Cerebral Artery Dissection

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Cerebral artery dissection as cause of stroke

Pediatric Neurology ◽

10.1016/0887-8994(94)90311-5 ◽

1994 ◽

Vol 11 (2) ◽

pp. 128

Author(s):

Hema Patel ◽

Bhuwan P. Garg

Keyword(s):

Cerebral Artery ◽

Artery Dissection ◽

Cerebral Artery Dissection

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Posterior cerebral artery dissection

Japanese Journal of Neurosurgery ◽

10.7887/jcns.10.711 ◽

2001 ◽

Vol 10 (11) ◽

pp. 711-717 ◽

Cited By ~ 2

Author(s):

Kenichiro Ono ◽

Tadashi Inohara ◽

Toshiki Shirotani ◽

Akira Shimizu ◽

Hidetoshi Ooigawa ◽

...

Keyword(s):

Cerebral Artery ◽

Posterior Cerebral Artery ◽

Artery Dissection ◽

Cerebral Artery Dissection

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A case of Marfan syndrome with ischemic stroke due to middle cerebral artery dissection

Neurology and Clinical Neuroscience ◽

10.1111/ncn3.12233 ◽

2018 ◽

Vol 6 (6) ◽

pp. 194-196

Author(s):

Tadashi Ozawa ◽

Akihiro Toyohara ◽

Younhee Kim ◽

Takafumi Mashiko ◽

Reiji Koide ◽

...

Keyword(s):

Ischemic Stroke ◽

Middle Cerebral Artery ◽

Marfan Syndrome ◽

Cerebral Artery ◽

Artery Dissection ◽

Cerebral Artery Dissection

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The value of plasma fibrillin-1 level in patients with spontaneous cerebral artery dissection

Neurology ◽

10.1212/wnl.0000000000005027 ◽

2018 ◽

Vol 90 (9) ◽

pp. e732-e737 ◽

Cited By ~ 6

Author(s):

Zhu Zhu ◽

Weijun Tang ◽

Liang Ge ◽

Xiang Han ◽

Qiang Dong

Keyword(s):

Ischemic Stroke ◽

Cerebral Artery ◽

Acute Stage ◽

Artery Dissection ◽

Class Iii ◽

Severity Grading ◽

Fibrillin 1 ◽

Stroke Group ◽

Healthy Participants ◽

Cerebral Artery Dissection

ObjectiveTo explore the value of plasma fibrillin-1 levels in patients with spontaneous cerebral artery dissection (sCeAD).MethodsA single-center prospective cohort of 99 consecutive patients with sCeAD between February 2013 and December 2015 were age and sex matched with 115 patients with non-sCeAD ischemic stroke and 20 healthy participants undergoing routine physical examination. The plasma fibrillin-1 level was measured with ELISA and compared among the 3 groups. The associations of fibrillin-1 with site, acuity, and severity of dissection, as well as clinical and radiographic prognosis of patients, were analyzed.ResultsOne hundred nine plasma samples from 99 patients with sCeAD, 115 from disease control patients, and 20 from healthy participants were collected. The plasma fibrillin-1 level of the dissection group (mean 85.56 ng/mL [95% confidence interval 81.53–89.59]) was higher than that of non-sCeAD ischemic stroke group (77.13 ng/mL [73.64–80.63], p = 0.015) or healthy controls (73.04 ng/mL [65.94–80.13], p = 0.029). Such differences were most prominent in the acute stage (97.64 ng/mL [91.64–103.64], 74.39 ng/mL [68.95–79.84], and 73.04 ng/mL [65.95–80.13], respectively). A cutoff value of 88.455 ng/mL was determined to differentiate acute dissection from nondissection stroke with a sensitivity of 0.778 and a specificity of 0.800. Higher fibrillin-1 level was detected in patients with more severe dissection radiographically (p < 0.001), while patients with lower fibrillin-1 concentration at baseline achieved better morphologic recovery on follow-up imaging tests (p = 0.003).ConclusionPlasma fibrillin-1 is a promising biomarker for aiding the diagnosis of acute sCeAD and may have potential value in lesion severity grading and radiographic prognosis prediction.Classification of evidenceThis study provides Class III evidence that patients with sCeAD have significantly higher levels of plasma fibrillin-1 than patients with ischemic stroke attributable to a cause other than sCeAD.

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