title: Spontaneous cervical and cerebral arterial dissections: diagnosis and management.
abstract: Arterial dissections of head and neck arteries were first identified pathologically in the 1950s, but not until the 1970s and the 1980s did they begin to be widely recognized as a clinical entity. Carotid and vertebral artery dissections account for only 2% of all ischemic strokes, but they account for approximately 20% of thromboembolic strokes in patients younger than 45 years. The cause of supra-aortic dissections can be either spontaneous or traumatic. This article addresses spontaneous cervical and cerebral artery dissections.
authors.affiliation: Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 2210, Chicago, IL 60611, USA.
authors.forename: Rudy J
authors.initials: RJ
authors.lastname: Rahme
authors.forename: Salah G
authors.initials: SG
authors.lastname: Aoun
authors.forename: Jamal
authors.initials: J
authors.lastname: McClendon
authors.forename: Tarek Y
authors.initials: TY
authors.lastname: El Ahmadieh
authors.forename: Bernard R
authors.initials: BR
authors.lastname: Bendok
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis* / Q000628:therapy*; D002548:Cerebral Revascularization / Q000295:instrumentation / Q000379:methods*; D003131:Combined Modality Therapy; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000628:therapy*; D059906:Neuroimaging / Q000379:methods; D025321:Surgery, Computer-Assisted / Q000379:methods
chemical_list: D005343:Fibrinolytic Agents
keywords: Balloon angioplasty; Cerebral artery dissection; Cervical artery dissection; Stent placement; Stroke; Transient ischemic attack