Cervical artery dissection: ethiopathogenesis, symptoms, diagnosis and treatment (literature review)
Cervical artery dissection (CAD) is considered a rare disorder, but among young adults it is a common cause of stroke (causes about 25% of strokes in young adults). So far, the pathophysiology of spontaneous CAD is probably best described as an interaction of genetic and environmental factors. The...
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2020-09-01
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| Series: | Neurologijos seminarai |
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| Online Access: | https://www.journals.vu.lt/neurologijos_seminarai/article/view/27719 |
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| author | I. Zagorskienė A. Paplauskaitė J. Valaikienė |
| author_facet | I. Zagorskienė A. Paplauskaitė J. Valaikienė |
| author_sort | I. Zagorskienė |
| collection | DOAJ |
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Cervical artery dissection (CAD) is considered a rare disorder, but among young adults it is a common cause of stroke (causes about 25% of strokes in young adults). So far, the pathophysiology of spontaneous CAD is probably best described as an interaction of genetic and environmental factors. The most frequent symptom of CAD is headache or pain in the face or neck, which might be followed by symptoms of acute cerebral ischaemia. The diagnosis of CAD can be confirmed by various imaging techniques, but it has to be suspected by the clinician first. Acute stroke due to CAD can be treated with thrombolysis, and to prevent stroke (whether primary or secondary) anticoagulants or antiplatelets are used. Unfortunately, no consensus is made for the first-line treatment yet. Endovascular treatment is an alternative option for selected patients. Overall, prognosis of CAD is usually favorable, relapse of stroke is rare, and mortality rate is low.
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| format | Article |
| id | doaj-art-aa04576380464ce5a44d98c55be0b842 |
| institution | Kabale University |
| issn | 1392-3064 2424-5917 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Neurologijos seminarai |
| spelling | doaj-art-aa04576380464ce5a44d98c55be0b8422025-01-20T18:22:41ZengVilnius University PressNeurologijos seminarai1392-30642424-59172020-09-01243(85)10.29014/ns.2020.24Cervical artery dissection: ethiopathogenesis, symptoms, diagnosis and treatment (literature review)I. Zagorskienė 0A. Paplauskaitė 1J. Valaikienė 2Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, Lithuania Cervical artery dissection (CAD) is considered a rare disorder, but among young adults it is a common cause of stroke (causes about 25% of strokes in young adults). So far, the pathophysiology of spontaneous CAD is probably best described as an interaction of genetic and environmental factors. The most frequent symptom of CAD is headache or pain in the face or neck, which might be followed by symptoms of acute cerebral ischaemia. The diagnosis of CAD can be confirmed by various imaging techniques, but it has to be suspected by the clinician first. Acute stroke due to CAD can be treated with thrombolysis, and to prevent stroke (whether primary or secondary) anticoagulants or antiplatelets are used. Unfortunately, no consensus is made for the first-line treatment yet. Endovascular treatment is an alternative option for selected patients. Overall, prognosis of CAD is usually favorable, relapse of stroke is rare, and mortality rate is low. https://www.journals.vu.lt/neurologijos_seminarai/article/view/27719cervical artery dissectiovertebral artery dissectioncarotid artery dissectioncolor duplex sonographymagnetic resonance angiographystroke |
| spellingShingle | I. Zagorskienė A. Paplauskaitė J. Valaikienė Cervical artery dissection: ethiopathogenesis, symptoms, diagnosis and treatment (literature review) Neurologijos seminarai cervical artery dissectio vertebral artery dissection carotid artery dissection color duplex sonography magnetic resonance angiography stroke |
| title | Cervical artery dissection: ethiopathogenesis, symptoms, diagnosis and treatment (literature review) |
| title_full | Cervical artery dissection: ethiopathogenesis, symptoms, diagnosis and treatment (literature review) |
| title_fullStr | Cervical artery dissection: ethiopathogenesis, symptoms, diagnosis and treatment (literature review) |
| title_full_unstemmed | Cervical artery dissection: ethiopathogenesis, symptoms, diagnosis and treatment (literature review) |
| title_short | Cervical artery dissection: ethiopathogenesis, symptoms, diagnosis and treatment (literature review) |
| title_sort | cervical artery dissection ethiopathogenesis symptoms diagnosis and treatment literature review |
| topic | cervical artery dissectio vertebral artery dissection carotid artery dissection color duplex sonography magnetic resonance angiography stroke |
| url | https://www.journals.vu.lt/neurologijos_seminarai/article/view/27719 |
| work_keys_str_mv | AT izagorskiene cervicalarterydissectionethiopathogenesissymptomsdiagnosisandtreatmentliteraturereview AT apaplauskaite cervicalarterydissectionethiopathogenesissymptomsdiagnosisandtreatmentliteraturereview AT jvalaikiene cervicalarterydissectionethiopathogenesissymptomsdiagnosisandtreatmentliteraturereview |