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Recurrent versus fi...
Recurrent versus first cervical artery dissection - a retrospective study of clinical and vascular characteristics
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Kloss, M. (author)
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Kalashnikova, L. (author)
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Dobrynina, L. (author)
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Traenka, C. (author)
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Engelter, S. T. (author)
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Metso, T. M. (author)
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- Tatlisumak, Turgut (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology
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Urbanek, C. (author)
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Grau, A. (author)
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Kellert, L. (author)
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Brandt, T. (author)
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Wieker, C. M. (author)
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Grond-Ginsbach, C. (author)
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Pezzini, A. (author)
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(creator_code:org_t)
- 2020-07-22
- 2020
- English.
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In: European Journal of Neurology. - : Wiley. - 1351-5101 .- 1468-1331. ; 27:11, s. 2185-2190
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
Keyword
- arterial dissection
- epidemiology
- cerebrovascular diseases and cerebral
- circulation
- cerebral infarction
- stroke
- endarterectomy
- risk
- Neurosciences & Neurology
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Kloss, M.
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Kalashnikova, L.
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Dobrynina, L.
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Traenka, C.
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Engelter, S. T.
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Metso, T. M.
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show more...
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Tatlisumak, Turg ...
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Urbanek, C.
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Grau, A.
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Kellert, L.
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Brandt, T.
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Wieker, C. M.
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Grond-Ginsbach, ...
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Pezzini, A.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Neurosciences
- Articles in the publication
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European Journal ...
- By the university
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University of Gothenburg