Non-traumatic cervical artery dissection and ischemic stroke: A narrative review of recent research.
Antithrombotic agents
Carotid artery dissection
Diagnostic imaging
Endovascular procedures
Vertebral artery dissection
Journal
Clinical neurology and neurosurgery
ISSN: 1872-6968
Titre abrégé: Clin Neurol Neurosurg
Pays: Netherlands
ID NLM: 7502039
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
19
02
2019
revised:
02
10
2019
accepted:
06
10
2019
pubmed:
22
10
2019
medline:
21
10
2020
entrez:
22
10
2019
Statut:
ppublish
Résumé
Cervical artery dissection (CAD) is a leading cause of ischaemic stroke (IS) in young and middle-aged adults. Despite well characterized clinical presentation, the diagnosis of CAD can be quite challenging due to a wide variety of symptoms ranging from minor neck pain to severe neurological symptoms. Invasive diagnostic procedures such as DSA are nowadays being replaced by the sensitive and CAD-specific sequences of MR. The most recent studies confirmed the overall efficacy of antiplatelet and anticoagulant therapies for CAD patients is equivalent, although patients should be qualified for concrete treatment on the basis of recently characterized clinical features. The use of NOAC in CAD-related IS prevention cannot yet be recommended due to the lack of evidences from randomized controlled trials. Endovascular therapies should be considered as the treatment of CAD, especially in the cases of large occlusion or antithrombotic treatment failure. Further research is needed to evaluate the efficacy of new imaging modalities and treatment options. This review summarize the last 5-year development of the diagnosis and treatment for CAD as a causative factor for IS.
Identifiants
pubmed: 31634685
pii: S0303-8467(19)30357-9
doi: 10.1016/j.clineuro.2019.105561
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
105561Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.