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Title: Carotid and vertebral artery dissection syndromes.
Authors: Thanvi, B
Munshi, SK
Dawson, SL
Robinson, TG
First Published: Jun-2005
Citation: POSTGRAD MED J, 2005, 81 (956), pp. 383-388
Abstract: Cervicocerebral arterial dissections (CAD) are an important cause of strokes in younger patients accounting for nearly 20% of strokes in patients under the age of 45 years. Extracranial internal carotid artery dissections comprise 70%-80% and extracranial vertebral dissections account for about 15% of all CAD. Aetiopathogenesis of CAD is incompletely understood, though trauma, respiratory infections, and underlying arteriopathy are considered important. A typical picture of local pain, headache, and ipsilateral Horner's syndrome followed after several hours by cerebral or retinal ischaemia is rare. Doppler ultrasound, MRI/MRA, and CT angiography are useful non-invasive diagnostic tests. The treatment of extracranial CAD is mainly medical using anticoagulants or antiplatelet agents although controlled studies to show their effectiveness are lacking. The prognosis of extracranial CAD is generally much better than that of the intracranial CAD. Recurrences are rare in CAD.
DOI Link: 10.1136/pgmj.2003.016774
eISSN: 1469-0756
Type: Journal Article
Appears in Collections:Published Articles, Dept. of Cardiovascular Sciences

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