Arterial tortuosity in patients with spontaneous cervical artery dissection

Neuroradiology
Alessia GiossiAlessandro Pezzini

Abstract

The aim of this study was to test the hypothesis that patients with spontaneous cervical artery dissection (CeAD) have increased arterial tortuosity, and the objective quantification of such a tortuosity may aid in the identification of subjects at increased risk of disease. In the setting of a hospital-based, case-control study, we used the vertebral tortuosity index (VTI) measured on magnetic resonance angiography, a validated method for the assessment and quantification of arterial tortuosity, to compare the degree of tortuosity in a series of consecutive patients with spontaneous CeAD and of age- and sex-matched patients with ischemic stroke unrelated to CeAD (non-CeAD IS) and stroke-free subjects. The study group was composed of 102 patients with CeAD (mean age, 44.5 ± 7.8 years; 66.7% men), 102 with non-CEAD IS, and 102 stroke-free subjects. The VTI was higher in the group of patients with CeAD (median, 7.3; 25th-75th percentile, 10.2) compared with that of non-CeAD IS (median, 3.4; 25th-75th percentile, 4.4) and of stroke-free subjects (median, 4.0; 25th-75th percentile, 2.9; p ≤ 0.001), and was independently associated to the risk of CeAD (OR, 1.18; 95% CI, 1.09-1.29) in multivariable regression analysis. The degree of ...Continue Reading

References

May 3, 2013·Neurology·Stefan T EngelterUNKNOWN Cervical Artery Dissection and Ischemic Stroke Patients Study Group
Aug 21, 2014·Circulation. Cardiovascular Interventions·Mackram F EleidRajiv Gulati
Oct 19, 2014·Neuroradiology·Luca SabaMax Wintermark
Oct 31, 2014·Neurology·Alessia GiossiAlessandro Pezzini
Sep 24, 2015·Current Opinion in Cardiology·Shaine A Morris
Mar 24, 2016·Stroke; a Journal of Cerebral Circulation·Felix WeiUNKNOWN Vascular Effects of Infection in Pediatric Stroke (VIPS) Investigators
Aug 18, 2016·Stroke; a Journal of Cerebral Circulation·Bum Joon KimJong S Kim

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Citations

Mar 12, 2019·Hypertension·Simina CiuricăAlexandre Persu
Oct 20, 2018·Neuroradiology·Evelien E de VriesGert J de Borst
Dec 1, 2017·European Stroke Journal·Ludwig SchlemmMartin Ebinger
Jan 7, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Lijuan ZhangHaoming Guo

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