Abstract

To the Editor: We read with great interest the article by Metso et al1 and congratulate the authors for their important work for 2 main reasons: (1) previous studies about intracranial artery dissections (IAD) were based either on patients recruited in neurological departments after experiencing mainly ischemic events and/or local symptoms and signs (eg, headache, Horner syndrome), or in neurosurgical departments after a subarachnoid hemorrhage. Metso et al1 included all consecutive patients from the neurological as well as the neurosurgical units of the Helsinki University Central Hospital and avoided the inclusion bias mentioned …

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