November 25 Highlight and Commentary

Abstract

Touze et al. studied a historical cohort of 459 patients with a cervical artery dissection. After a follow-up of 31 months, they found a very low risk of stroke and recurrent dissection and no relation between ischemic events and chronic arterial lesions. see page 1347 Commentary by Bahram Mokri, MD Although⇓ the majority of patients with internal carotid artery (ICA) and vertebral artery (VA) dissections develop focal cerebral ischemic manifestations, a substantial minority do not present with manifestations; approximately 35% of patients with ICA dissections and 20% of patients with VA dissections do not develop TIA or strokes.1 Furthermore, dissections of ICA and VA may be monosymptomatic, …