Title :

Predictors of delayed stroke in patients with cervical artery dissection

Author(s) :

Lichy, Christoph [Auteur]
Metso, Antti J. [Auteur]
Pezzini, Alessandro [Auteur]
LEYS, Didier [Auteur]
Troubles cognitifs dégénératifs et vasculaires - U1171
Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Metso, Tiina M. [Auteur]
Lyrer, Philippe A. [Auteur]
Debette, Stéphanie [Auteur]
Thijs, Vincent N. S. [Auteur]
Abboud, Sherine [Auteur]
Kloss, Manja [Auteur]
Samson, Yves [Auteur]
Caso, Valeria [Auteur]
Sessa, Maria [Auteur]
Beretta, Simone [Auteur]
Lamy, Chantal [Auteur]
Medeiros, Elisabeth [Auteur]
Bersano, Anna [Auteur]
Touze, Emmanuel [Auteur]
Tatlisumak, Turgut [Auteur]
Grau, Armin J. [Auteur]
Brandt, Tobias [Auteur]
Engelter, Stefan T. [Auteur]
Grond-Ginsbach, Caspar [Auteur]

Journal title :

International journal of stroke . official journal of the International Stroke Society

Abbreviated title :

Int. J. Stroke

Volume number :

10

Pages :

360-363

Publication date :

2015-04-01

ISSN :

1747-4930

English keyword(s) :

carotid artery dissection
vertebral artery dissection
stroke
risk factors
occlusive dissection
multiple dissection

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

BACKGROUND: Stroke in patients with acute cervical artery dissection may be anticipated by initial transient ischemic or nonischemic symptoms. OBJECTIVE: Identifying risk factors for delayed stroke upon cervical artery ...
Show more >BACKGROUND: Stroke in patients with acute cervical artery dissection may be anticipated by initial transient ischemic or nonischemic symptoms. OBJECTIVE: Identifying risk factors for delayed stroke upon cervical artery dissection. METHODS: Cervical artery dissection patients from the multicenter Cervical Artery Dissection and Ischemic Stroke Patients study were classified as patients without stroke (n = 339), with stroke preceded by nonstroke symptoms (delayed stroke, n = 244), and with stroke at onset (n = 382). Demographics, clinical, and vascular findings were compared between the three groups. RESULTS: Patients with delayed stroke were more likely to present with occlusive cervical artery dissection (P < 0.001), multiple cervical artery dissection (P = 0.031), and vertebral artery dissection (P < 0.001) than patients without stroke. No differences were observed in age, smoking, arterial hypertension, hypercholesterolemia, migraine, body mass index, infections during the last week, and trauma during the last month, but patients with delayed stroke had less often transient ischemic attack (P < 0.001) and local signs (Horner syndrome and cranial nerve palsy; P < 0.001). CONCLUSIONS: Occlusive cervical artery dissection, multiple cervical artery dissection, and vertebral artery dissection were associated with an increased risk for delayed stroke. No other risk factors for delayed stroke were identified. Immediate cervical imaging of cervical artery dissection patients without ischemic stroke is needed to identify patients at increased risk for delayed ischemia.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
CNRS
Inserm
Université de Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172

Research team(s) :

Troubles cognitifs dégénératifs et vasculaires

Submission date :

2019-11-27T14:30:14Z