Abstract
Cervical artery dissection is a common cause of stroke in young adults. It might occur shortly after a forceful neck trauma or a minor injury. However, spontaneous dissection is also common, which is associated with genetic, anatomical or environmental risk factors. Cervical artery dissection can produce a broad spectrum of clinical presentation varying from local symptoms to focal neurological deficits determined by the arterial territory involved. Early recognition is important since immediate initiation of treatment can significantly improve patient outcomes. While clinical features may raise suspicion for dissection, the diagnosis has to be confirmed by neuroimaging findings. The purpose of this paper is to give an overview on cervical (carotid and vertebral) artery dissections while presenting 19 cases. During three years, we evaluated the clinical features, risk factors, diagnostic and therapeutic procedures of these patients admitted with extracranial artery dissection. The prognosis of the disease can vary, 42% of our patients became asymptomatic. Orv Hetil. 2019; 160(22): 861-868.
Highlights
Cervical artery dissection is a common cause of stroke in young adults
Cervical artery dissection can produce a broad spectrum of clinical presentation varying from local symptoms to focal neurological deficits determined by the arterial territory involved
We evaluated the clinical features, risk factors, diagnostic and therapeutic procedures of these patients admitted with extracranial artery dissection
Summary
Forró Csilla dr.1, 2 ■ Mészáros Zsófia dr.2 ■ Sipos Márton Kerényi Rita Zsuzsanna dr.4 ■ Barsi Péter dr.4 ■ Rudas Gábor dr.. ACI = arteria carotis interna; AHA = (American Heart Association) Amerikai Szív Egyesület; ASA = (American Stroke Association) Amerikai Stroke Egyesület; AV = arteria vertebralis; CAD = (cervical artery dissection) cervicalis agyi erek dissectiója; CADISP (Cervical Artery Dissection and Ischemic Stroke Patients) nyaki artéria dissectio és ischaemiás stroke betegek; CADISS = (Cervical Artery Dissection in Stroke Study) cercvi-. A kórkép kialakulhat akár minor erőbehatás, tompa nyaki trauma következtében, de gyakori a spontán esetek száma is, melyek genetikai, anatómiai és környezeti tényezőkkel hozhatók összefüggésbe [3]. B) A vasa vasorum (az érfalban látható ovális ellipszisek; piros ellipszis – arteria, kék ellipszis – vena) sérülése során az ér falában haematoma alakul ki, mely az ér valódi belső lumenének stenosisához/occlusiójához vezethet keletkező thrombus vagy ennek részei továbbsodródva, arterioarteriás embolisatio következtében okozhatnak ischaemiás stroke-ot. Közleményünkben a klinikánkon végzett retrospektív vizsgálat során három év alatt 19, extracranialis arteria
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