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Comparison of single versus multiple spontaneous extra- and/or intracranial arterial dissection.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hassan, Ameer E. Zacharatos, Haralabos Mohammad, Yousef M. Tariq, Nauman Vazquez, Gabriella Rodriguez, Gustavo J. Suri, M. Fareed K. Qureshi, Adnan I.
Spatial Coverage	Minnesota
Description	Country affiliation: United States Author Affiliation: Hassan AE ( Zeenat Qureshi Stroke Research Center, University of Minnesota, Minneapolis, MN, USA. ameerehassan@gmail.com)
Abstract	BACKGROUND: Anecdotal data suggest that approximately 20% of patients with a spontaneous extra- and/or intracranial arterial dissection have multiple arterial involvement. Limited data exist regarding the clinical and angiographic characteristics of patients with multiple arterial dissections. We compared the clinical and angiographic features of patients with spontaneous multiple extra- and/or intracranial arterial dissections with those who have a single arterial dissection. METHODS: A retrospective chart review of the consecutive ischemic stroke database over a 7-year period, maintained at 2 institutions, was conducted to identify patients with spontaneous extra- and/or intracranial arterial dissection. The patients' clinical characteristics and angiographic features (including the artery affected, presence of pseudoaneurysm, fibromuscular dysplasia, and degree of stenosis) were analyzed. RESULTS: A total of 76 patients were admitted with spontaneous extra- and/or intracranial arterial dissection; 46 dissections were confirmed with 4-vessel cerebral angiography. Multiple arterial dissections were found in a total of 10 (22%) patients. Involvement of multiple arteries was more prevalent in the young, when compared to a single spontaneous arterial dissection (7 [70%] in patients <45 years of age v 11 [31%]; P = .03). Patients with multiple arterial dissections had a higher proportion of pseudoaneurysms (9 [90%] v 11 [31%]; P = .001), a higher prevalence of underlying fibromuscular dysplasia (3 [30%] v 3 [8%]; P = .11), and were more likely to involve the posterior circulation (P < .0001). CONCLUSIONS: The presence of multiple, simultaneous spontaneous extra- and/or intracranial arterial dissections must be considered when a single spontaneous arterial dissection is identified.
File Format	HTM / HTML
ISSN	10523057
Issue Number	1
Volume Number	22
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2013-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Prevalence Comparative Study Age Factors Humans Middle Aged Intracranial Aneurysm Male Epidemiology Angiography, Digital Subtraction Journal Article Discipline Cardiology Adult Female Retrospective Studies Risk Factors Tomography, X-ray Computed Magnetic Resonance Angiography Fibromuscular Dysplasia Minnesota Vertebral Artery Dissection Cerebral Angiography Carotid Artery Diseases Aneurysm, False Multicenter Study Aged Methods Aneurysm, Dissecting
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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