Author: Jason L Louis / Editor: Jason M Kendall / Reviewer: Martin Dore, Josh Davison, Emma Everitt / Code: A5 / Published: 22/01/2024
This session reviews the clinical presentation and investigation of cervical artery dissection. The clinician needs a high level of suspicion to make this diagnosis accurately.
After completing this session you will be able to:
- Outline the pathophysiological mechanisms of cervical artery dissection
- Explain the nature and timing of neurological sequelae of carotid artery dissection
- Describe an appropriate imaging strategy for patients with suspected cervical artery dissection
- Explain the role of anticoagulation therapy in patients with cervical artery dissection
References
- Chan MT, Nadareishvili ZG, Norris JW. Diagnostic strategies in young patients with ischemic stroke in Canada. Can J Neurol Sci. 2000 May;27(2):120-4.
- Beletsky V, Nadareishvili Z, Lynch J, et al. Cervical arterial dissection: time for a therapeutic trial? Stroke. 2003 Dec;34(12):2856-60.
- Schievink WI, Mokri B, O’Fallon WM. Recurrent spontaneous cervical-artery dissection. N Engl J Med. 1994 Feb 10;330(6):393-7.
- Kennedy F, Lanfranconi S, Hicks C, et al.. Antiplatelets vs anticoagulation for dissection: CADISS nonrandomized arm and meta-analysis. Neurology. 2012 Aug 14;79(7):686-9.
- Chowdhury MM, Sabbagh CN, et al. Antithrombotic treatment for acute extracranial carotid artery dissections: a meta-analysis. Eur J Vasc Endovasc Surg. 2015 Aug;50(2):148-56.
- Sturzenegger M, Mattle HP, Rivoir A, Baumgartner RW. Ultrasound findings in carotid artery dissection: analysis of 43 patients. Neurology. 1995 Apr;45(4):691-8.
- Biousse V, D’Anglejan-Chatillon J, et al. Time course of symptoms in extracranial carotid artery dissections. A series of 80 patients. Stroke. 1995 Feb;26(2):235-9.
