1] The duplicated VA is a significant predisposing factor of vertebrobasilar cervical artery
dissection due to local histological defect (hypoplasia) or significant hemodynamic alteration.
Although Cochrane systematic review, meta-analysis of observational studies and feasibility Cervical Artery
Dissection and Ischemic Stroke Patients (CADISP) study have not suggested any significant difference between the impact of anticoagulants and antiplatelet agents on death and disability, or on the risk of cerebral infarction (21), anticoagulation in our patient was administered to prevent embolization.
Methods * We identified cases through a retrospective chart review of patients seen between April 2008 and March 2012 who had a diagnosis of cervical artery
dissection following a recent chiropractic manipulation.
sup] Radiation-induced cervical artery
stenosis (RICAS) has its own characteristics compared with those lesions without a history of RT.
Along their continued course in cranial direction, on both sides, the carotid arteries symmetrically gave off the transverse cervical artery
El estudio CADISP (siglas en ingles de Cervical Artery
Dissection Ischemic Stroke Patients) busco diferenciar las caracteristicas clinicas y factores de riesgo de 982 pacientes con diseccion de arterias cervicales (319 de carotida interna, 327 de arteria vertebral y 336, de ambas), encontrando que los pacientes con diseccion de la carotida interna son ligeramente mayores (46 vs 41 anos p<0,0001), en su mayoria hombres (p= 0,006), la ceguera monocular transitoria ocurre solo en estos pacientes (8 vs 0 %), tienen mas cefalea (OR 1,36 [1,01-1,84]) y un puntaje NIHSS (National Health Stroke Scale) mayor a la presentacion (8 vs 3, OR= 1,17; IC 95 % = 1,12- 1,22).
Lamberty and Cormock in 1979 correctly described the supraclavicular artery as a perforator that arises from the transverse cervical artery
in 93% of cases or from the suprascapular artery in 7% of cases10.
dissection-clinical features, risk factors, therapy and outcome in 126 patients.
The annual incidence of spontaneous cervical artery
dissections has been reported as 2.
The chiropractic technique usually involves a rotation of the neck and sometimes a forceful thrust that can lead to greater risk for cervical artery
dissection, or small tears in the walls of arteries in the neck.
2003) Cervical artery
dissection-Clinical features, risk factors, therapy and outcome in 126 patients.
Although there has been a putative link between cervical spinal manipulative treatment (cSMT) and cervical artery
dissection (CAD) ever since Thornton's report in the literature in 1934 (1), recent evidence suggests that this is an association rather than a causal relationship.