Abstract
OBJECTIVE Dissection of the carotid and vertebral arteries can result in the development of aneurysmal dilations. These dissecting pseudoaneurysms can enlarge and cause symptoms. The objective of this study is to provide insight into the progression of dissecting pseudoaneurysms and the treatments required to manage them. METHODS A review of the electronic medical records was conducted to detect patients with carotid and vertebral artery dissection. An imaging review was conducted to identify patients with dissecting pseudoaneurysms. One hundred twelve patients with 120 dissecting pseudoaneurysms were identified. Univariate and multivariate analyses were conducted to assess the factors associated with undergoing further interventions other than medical treatment, pseudoaneurysm enlargement, pseudoaneurysms resulting in ischemic and nonischemic symptoms, and clinical outcome. RESULTS Overall, 18.3% of pseudoaneurysms were intracranial and 81.7% were extracranial, and the average size was 7.3 mm. The mean follow-up time was 29.3 months; 3.3% of patients had a recurrent transient ischemic attack, no patients had a recurrent stroke, and 14.2% of patients had recurrence of nonischemic symptoms (headache, neck pain, Horner syndrome, ...Continue Reading
References
Oct 1, 1990·Journal of Neurology·B Mokri
Nov 1, 1987·Stroke; a Journal of Cerebral Circulation·J L MasD Laplane
Feb 1, 1988·Journal of Neurosurgery·B MokriO W Houser
Jun 1, 1988·Neurology·B MokriD G Piepgras
Nov 1, 1985·Stroke; a Journal of Cerebral Circulation·L R CaplanM Hemmati
Feb 1, 1967·Neurology·K Boström, B Liliequist
Feb 1, 1980·Neurosurgery·W L Stringer, D L Kelly
Nov 1, 1995·AJR. American Journal of Roentgenology·J M Provenzale
Feb 1, 1995·Stroke; a Journal of Cerebral Circulation·V BiousseM G Bousser
Nov 1, 1994·Neurosurgery·W I SchievinkB Mokri
Feb 19, 1994·Lancet·W I SchievinkB Mokri
Jan 1, 1994·Radiology·C LévyJ M Tubiana
Jan 1, 1993·Stroke; a Journal of Cerebral Circulation·L Nguyen BuiG Gillan
May 1, 1996·Annals of Surgery·T C FabianF E Pritchard
Mar 1, 1997·Neurosurgery·M J Perez-CruetJ E Rose
Jul 17, 1999·Neurology·B GuillonM G Bousser
Apr 5, 2000·AJR. American Journal of Roentgenology·H DjouhriJ M Tubiana
Feb 7, 2001·Stroke; a Journal of Cerebral Circulation·E TouzéJ L Mas
Mar 22, 2001·The New England Journal of Medicine·W I Schievink
Sep 12, 2001·Neurology·R W BaumgartnerM Sturzenegger
Feb 20, 2003·Neuroradiology·O PelkonenK Sotaniemi
Aug 1, 2007·Neurology·D H BenningerR W Baumgartner
Jul 16, 2008·Annals of Vascular Surgery·Rabih A ChaerJames F McKinsey
May 31, 2011·Journal of Vascular Surgery·Atul S RaoRabih A Chaer
Sep 9, 2011·Neurology·S DebetteUNKNOWN Cervical Artery Dissection Ischemic Stroke Patients (CADISP) Group
Feb 22, 2012·Journal of Vascular Surgery·Karan GargFiras F Mussa
Apr 8, 2014·Journal of Neurosurgery·Paul M ForemanMark R Harrigan
Jul 27, 2014·Journal of Neurointerventional Surgery·Christopher J SewardElad I Levy
Nov 14, 2014·PloS One·Ying SongXinjian Yang
Citations
Apr 11, 2018·Acta neurologica Belgica·Loris PoliAlessandro Pezzini
Jan 12, 2019·Vascular and Endovascular Surgery·Dominika KasprzakPiotr Andziak
Jan 15, 2017·Neurology·Susanna C LarssonHugh S Markus
Nov 2, 2019·BMC Neurology·Lloyd SteeleSophie J Camp
Jan 16, 2021·Operative Neurosurgery·Nathan A ShlobinNader S Dahdaleh
Mar 15, 2020·Journal of Neuroradiology. Journal De Neuroradiologie·John C BensonWaleed Brinjikji
May 6, 2021·Annals of Vascular Surgery·Yun-Feng HanHong Zhao
May 12, 2021·BMJ Case Reports·Narlin BeatyLutheria Hollis
Jul 24, 2021·American Journal of Ophthalmology Case Reports·Zesemayat K MekonnenArmin R Afshar
Aug 4, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Alexandra VezzettiSouvik Sen
Oct 8, 2021·Frontiers in Neurology·Sho Tsunoda, Tomohiro Inoue