PMID: 15239419Jul 9, 2004Paper

Cerebral CT and MRI findings in cervicocephalic artery dissection

Acta Radiologica
Outi PelkonenKyösti Sotaniemi

Abstract

To explore the frequency and patterns of brain infarction and other brain manifestations in cervicocephalic artery dissection (CCAD) and to evaluate the correlation between vessel wall findings and infarctions. The medical records and films of 136 consecutive CCAD patients diagnosed in Oulu University Hospital during the 20-year period since 1982 were reviewed. Five patients with no brain imaging were excluded. One-hundred-and-twenty-seven patients underwent cerebral CT and four patients MRI. Brain infarction was detected in 73 patients (56%), 43 of whom had cerebral infarction associated with anterior circulation dissection and 30 cerebellar infarction associated with posterior circulation dissection. Occlusion of the dissected vessel was accompanied by infarction in 76%, irregular stenosis in 40%, and other findings in 12%. Of the anterior circulation infarctions, territorial and subcortical infarctions and territorial infarctions with fragmentation, which are considered embolic, accounted for 95%, while only 5% were in the watershed area and considered hemodynamic. Intracranial posterior circulation dissection rarely caused infarction (in 1/11 of the dissected vessels), whereas intracranial anterior circulation dissection re...Continue Reading

Citations

Dec 15, 2010·Neurosurgery·Matthew R Fusco, Mark R Harrigan
Feb 19, 2008·Journal of Child Neurology·Ayelet HalevyAvinoam Shuper
Oct 23, 2010·Stroke; a Journal of Cerebral Circulation·Karen L FurieUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Interdisci
Sep 27, 2007·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Jayanta RoyMaher Saqqur
Aug 31, 2012·The Neurologist·Rebecca F GottesmanDavid E Newman-Toker
Jun 13, 2014·Postgraduate Medical Journal·Bijoy K MenonShelagh B Coutts
Jul 28, 2007·Stroke; a Journal of Cerebral Circulation·Stefan T EngelterUNKNOWN Cervical Artery Dissection in Ischemic Stroke Patients (CADISP) Study Group
Sep 28, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Lucy Caroline ThomasChristopher Levi
May 3, 2014·Stroke; a Journal of Cerebral Circulation·Walter N KernanUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and
Dec 22, 2006·Journal of the Chinese Medical Association : JCMA·Ju-Sing FanLi-Chi Hsu
May 18, 2016·Neurologia Medico-chirurgica·Masafumi Kanoto, Takaaki Hosoya

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