Early asymptomatic recurrence of cervical artery dissection: three cases.
Cervical artery dissection (CAD) recurrences are rare but the risk could be higher during the first month. Twenty-seven consecutive patients admitted for an acute CAD were investigated using a standardized imaging protocol. An early asymptomatic recurrence was observed in three patients 49 to 53 days after the initial diagnosis. Anticoagulation was maintained and the prognosis remained good. Early CAD recurrences may have been underestimated previously, because asymptomatic recurrences seem to be more frequent than symptomatic ones.
Touzé
E
E
Department of Neurology, Hôpital Sainte-Anne, Paris, France. touze@chsa.broca.inserm.fr
Oppenheim
C
C
Zuber
M
M
Méary
E
E
Meder
J F
JF
Mas
J L
JL
D000328:Adult; D000784:Aortic Dissection / Q000188:drug therapy / Q000209:etiology; D000925:Anticoagulants / Q000627:therapeutic use; D002545:Brain Ischemia / Q000209:etiology; D020215:Carotid Artery, Internal, Dissection / Q000150:complications; D016893:Carotid Stenosis / Q000150:complications; D005260:Female; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic / Q000009:adverse effects; D008875:Middle Aged; D012008:Recurrence; D012907:Smoking / Q000009:adverse effects; D013997:Time Factors; D020217:Vertebral Artery Dissection / Q000150:complications
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight