Intracranial versus extracranial artery dissection cases presenting with ischemic stroke

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Hongbing ChenJinsheng Zeng

Abstract

To compare the clinical and radiologic characteristics, possible stroke mechanisms, and prognosis of intracranial artery dissections (IADs) with those of extracranial artery dissections (EADs) presenting with cerebral infarction. Among 3250 adult patients with acute ischemic stroke (cerebral infarction), we prospectively recruited and categorized patients with cerebral infarction secondary to spontaneous cerebral artery dissection into IAD or EAD groups. The clinical and radiologic characteristics, possible stroke mechanisms according to the distributions of the infarctions based on diffusion-weighted imaging, and prognosis were analyzed for both groups. There were 48 and 50 patients experiencing IAD and EAD, accounting for 1.5% and 1.5% of all ischemic stroke patients, respectively. Compression of the perforating artery was the most common possible stroke mechanism (33.3%) in IADs; thromboembolism was more common in EADs than that in IADs (36 of 50 versus 12 of 48; P < .001). Magnetic resonance imaging and angiography were used to investigate the arterial dissections in all IAD patients and 46 EAD patients. Based on magnetic resonance imaging and angiography, the IADs more frequently displayed dissecting aneurysm (6 of 48 vers...Continue Reading

References

Sep 1, 1988·Stroke; a Journal of Cerebral Circulation·J BogousslavskyF Regli
Sep 26, 1997·Stroke; a Journal of Cerebral Circulation·B KristensenT Olsson
Aug 11, 2001·The New England Journal of Medicine·R Kalb
Oct 31, 2003·Journal of Neurology·Rainer DziewasE Bernd Ringelstein
Nov 26, 2003·Neurology·E TouzéUNKNOWN Multicenter Survey on Natural History of Cervical Artery Dissection
Sep 16, 2006·Journal of the Neurological Sciences·Jin Soo LeeSeok Woo Yong
Sep 18, 2007·Stroke; a Journal of Cerebral Circulation·Marcel ArnoldRalf W Baumgartner
Jan 20, 2009·Surgical Neurology·Yung-Chien HuangHon-Man Liu
Feb 18, 2009·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·T M MetsoT Tatlisumak
Oct 19, 2010·Journal of Neurosurgery·Tohru Mizutani
Apr 22, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Simon LiStephen Davis
Nov 15, 2011·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ameer E HassanAdnan I Qureshi
Jul 11, 2013·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·N Yesilot BarlasS Z Bahar

❮ Previous
Next ❯

Citations

Feb 13, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Karanarak UrasyanandanaAnchalee Churojana
May 6, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Jong S KimBum J Kim

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.