Title :

Epidemiology, pathophysiology, diagnosis, and management of intracranial artery dissection

Author(s) :

Debette, Stéphanie [Auteur]
Compter, Annette [Auteur]
Labeyrie, Marc-Antoine [Auteur]
Uyttenboogaart, Maarten [Auteur]
Metso, Tiina M. [Auteur]
Majersik, Jennifer J. [Auteur]
Goeggel-Simonetti, Barbara [Auteur]
Engelter, Stefan T. [Auteur]
Pezzini, Alessandro [Auteur]
Bijlenga, Philippe [Auteur]
Southerland, Andrew M. [Auteur]
Naggara, Olivier [Auteur]
Bejot, Yannick [Auteur]
Cole, John W. [Auteur]
Ducros, Anne [Auteur]
Giacalone, Giacomo [Auteur]
Schilling, Sabrina [Auteur]
Reiner, Peggy [Auteur]
Sarikaya, Hakan [Auteur]
Welleweerd, Janna C. [Auteur]
Kappelle, L. Jaap [Auteur]
De Borst, Gert Jan [Auteur]
Bonati, Leo H. [Auteur]
Jung, Simon [Auteur]
Thijs, Vincent N. S. [Auteur]
Martin, Juan-Jose [Auteur]
Brandt, Tobias [Auteur]
Grond-Ginsbach, Caspar [Auteur]
Kloss, Manja [Auteur]
Mizutani, Tohru [Auteur]
Minematsu, Kazuo [Auteur]
Meschia, James F. [Auteur]
Pereira, Vitor Mendes [Auteur]
Bersano, Anna [Auteur]
Touze, Emmanuel [Auteur]
Lyrer, Philippe A. [Auteur]
LEYS, Didier [Auteur]
Troubles cognitifs dégénératifs et vasculaires - U1171
Troubles cognitifs dégénératifs et vasculaires - U 1171 [TCDV]
Chabriat, Hugues [Auteur]
Markus, Hugh S. [Auteur]
Worrall, Bradford B. [Auteur]
Chabrier, Stéphane [Auteur]
Baumgartner, Ralph W. [Auteur]
Stapf, Christian [Auteur]
Tatlisumak, Turgut [Auteur]
Arnold, Marcel [Auteur]
Bousser, Marie-Germaine [Auteur]

Journal title :

The Lancet. Neurology

Abbreviated title :

Lancet Neurol.

Volume number :

14

Pages :

640-654

Publication date :

2015-06-01

ISSN :

1474-4422

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Spontaneous intracranial artery dissection is an uncommon and probably underdiagnosed cause of stroke that is defined by the occurrence of a haematoma in the wall of an intracranial artery. Patients can present with headache, ...
Show more >Spontaneous intracranial artery dissection is an uncommon and probably underdiagnosed cause of stroke that is defined by the occurrence of a haematoma in the wall of an intracranial artery. Patients can present with headache, ischaemic stroke, subarachnoid haemorrhage, or symptoms associated with mass effect, mostly on the brainstem. Although intracranial artery dissection is less common than cervical artery dissection in adults of European ethnic origin, intracranial artery dissection is reportedly more common in children and in Asian populations. Risk factors and mechanisms are poorly understood, and diagnosis is challenging because characteristic imaging features can be difficult to detect in view of the small size of intracranial arteries. Therefore, multimodal follow-up imaging is often needed to confirm the diagnosis. Treatment of intracranial artery dissections is empirical in the absence of data from randomised controlled trials. Most patients with subarachnoid haemorrhage undergo surgical or endovascular treatment to prevent rebleeding, whereas patients with intracranial artery dissection and cerebral ischaemia are treated with antithrombotics. Prognosis seems worse in patients with subarachnoid haemorrhage than in those without.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 :

2019-11-27T14:33:59Z