Abstract

One of the most frustrating experiences we have as stroke clinicians is the lack of high level evidence for the management of patients with symptomatic and asymptomatic extracranial arterial dissection. Interestingly, this has become even more pressing since the introduction of magnetic resonance angiography (MRA) and computerized tomography angiography (CTA), where we are more frequently identifying dissections, typically in young adults and often with minimal symptoms. Moreover, with increased vascular screening of patients presenting with head and neck trauma, or postchiropractic manipulation,1 even the numbers currently detected may …

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