[Spontaneous carotid and vertebral arteries dissection in a multiethnic population].
Spontaneous dissection of the carotid and vertebral arteries (SDCVA) is considered a rare cause of stroke, particularly in countries with multiethnic population. The objective was to evaluate the clinical and neuroimaging features of patients with SDCVA from a multiethnic population. Sixty-six patients diagnosed with SDCVA were studied at two tertiary hospitals at São Paulo. An initial questionnaire was completed and patients were followed prospectively. Among the patients studied, 82% were caucasian, 53% were male and the average age was 41.7 years old. The most frequent cardiovascular risk factors found were systemic hypertension and tobacco use. Other aspects evaluated were history of previous migraine, initial treatment and prognosis. In conclusion, although the population studied was multiethnic, there was a marked predominance of caucasians. The analysis of clinical and neuroimaging data from patients with SDCVA allows a better understanding of the disease, leading to an earlier diagnosis and more appropriate treatment.
Pieri
Alexandre
A
Departamento de Neurologia, Universidade Federal de São Paulo, Rua Napoleão de Barros 874/14, São Paulo, Brazil.
Spitz
Mariana
M
Valiente
Raul Alberto
RA
Avelar
Wagner Mauad
WM
Silva
Gisele Sampaio
GS
Massaro
Ayrton Roberto
AR
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011379:Prognosis; D011446:Prospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D020217:Vertebral Artery Dissection / Q000175:diagnosis* / Q000188:drug therapy
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors