Seasonal variability in spontaneous cervical artery dissection.

Journal of Neurology, Neurosurgery, and Psychiatry
M PaciaroniRalf W Baumgartner

Abstract

We examined the seasonal variability of spontaneous cervical artery dissection (sCAD) by analysing prospectively collected data from 352 patients with 380 sCAD (361 symptomatic sCAD; 305 carotid and 75 vertebral artery dissections) admitted to two university hospitals with a catchment area of 2,200,000 inhabitants between 1985 and 2004. Presenting symptoms and signs of the 380 sCAD were ischaemic stroke in 241 (63%), transient ischaemic attack in 40 (11%), retinal ischemia in seven (2%), and non-ischaemic in 73 (19%) cases; 19 (5%) were asymptomatic sCAD. A seasonal pattern, with higher frequency of sCAD in winter (31.3%; 95% confidence interval (CI): 26.5 to 36.4; p=0.021) compared to spring (25.5%; 95% CI: 21.1 to 30.3), summer (23.5%; 95% CI: 19.3 to 28.3), and autumn (19.7%; 95% CI: 15.7 to 24.1) was observed. Although the cause of seasonality in sCAD is unclear, the winter peaks of infection, hypertension, and aortic dissection suggest common underlying mechanisms.

References

Oct 2, 1982·British Medical Journal·P J BrennanS G Thompson
Sep 18, 1997·The American Journal of Forensic Medicine and Pathology·K Opeskin
Mar 28, 1998·The American Journal of Emergency Medicine·W I SchievinkJ P Whisnant
May 12, 1998·Journal of Neurology, Neurosurgery, and Psychiatry·A AuerF Aichner
Jul 1, 1998·Journal of Neurosurgery·W I SchievinkJ D Kuiper
Jul 15, 1999·Archives of Neurology·A J GrauW Hacke
Aug 28, 2002·Circulation·Rajendra H MehtaUNKNOWN International Registry of Acute Aortic Dissection (IRAD) Investigators
Apr 4, 2003·The New England Journal of Medicine·Kristin L NicholMarika Iwane
Jun 14, 2003·Stroke; a Journal of Cerebral Circulation·Benoît GuillonChristophe Tzourio
Aug 24, 2004·American Journal of Epidemiology·Thomas A ReichertMark A Miller

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Citations

Jan 31, 2012·Journal of Neurology·Manja KlossStefan T Engelter
Nov 10, 2010·Nature Reviews. Neurology·Armin J GrauFrederick Palm
Apr 2, 2011·The American Journal of Forensic Medicine and Pathology·Judy Melinek, Amy P Hart
Dec 15, 2010·Neurosurgery·Matthew R Fusco, Mark R Harrigan
Sep 13, 2011·Medicinski pregled·Ivana DivjakNemanja Popović
Feb 16, 2010·Cellular and Molecular Life Sciences : CMLS·Caspar Grond-GinsbachMarie-Luise Gross-Weissmann
Jan 25, 2011·Manual Therapy·Lucy C ThomasChristopher Levi
Jul 16, 2008·Journal of Clinical Ultrasound : JCU·Tiemo WesselsJudith U Harrer
Oct 18, 2011·Journal of Magnetic Resonance Imaging : JMRI·Giles Roditi
Oct 20, 2015·Archives of Neuroscience·Christina A Blum, Shadi Yaghi
Oct 18, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Lucy C ThomasChristopher R Levi
Oct 21, 2006·Stroke; a Journal of Cerebral Circulation·Juan Jose MartinCaspar Grond-Ginsbach
Feb 14, 2019·Sports Medicine·Anna E SawJames E Gaida
Jul 2, 2017·Current Neurology and Neuroscience Reports·Stefan T EngelterPhilippe Lyrer
Jul 14, 2018·Chiropractic & Manual Therapies·James S Demetrious

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