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Triple and quadruple cervical artery dissections: a systematic review of individual patient data

dc.rights.licenseopenen_US
dc.contributor.authorGUGLIELMI, V.
dc.contributor.authorVISSER, J.
dc.contributor.authorARNOLD, M.
dc.contributor.authorSARIKAYA, H.
dc.contributor.authorVAN DEN BERG, R.
dc.contributor.authorNEDERKOORN, P. J.
dc.contributor.authorLEYS, D.
dc.contributor.authorCALVET, D.
dc.contributor.authorKLOSS, M.
dc.contributor.authorPEZZINI, A.
dc.contributor.authorTATLISUMAK, T.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorSCHILLING, Sabrina
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDEBETTE, Stephanie
dc.contributor.authorCOUTINHO, J. M.
dc.date.accessioned2020-06-22T15:58:52Z
dc.date.available2020-06-22T15:58:52Z
dc.date.issued2019-06
dc.identifier.issn1432-1459 (Electronic) 0340-5354 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/8076
dc.description.abstractEnBACKGROUND AND PURPOSE: Simultaneous dissection of three or four cervical arteries rarely occurs. As a result, limited information is available on clinical characteristics, underlying causes, treatment, and outcome of these patients. METHODS: We performed a systematic review of individual patient data on triple and quadruple cervical artery dissection (CeAD). We included all cases for whom, at minimum, data on age, sex and affected cervical arteries were available. RESULTS: Out of 1396 publications identified in the initial search, 52 were included, with data available on 96 patients. Mean age was 42 years and 66% were women. 63% had triple CeAD. The most common manifestations were headache (69%), neck pain (44%), motor deficit (36%), and Horner syndrome (34%). 57% had an ischemic stroke, in the majority of these patients the stroke was confined to the vascular territory of a single artery. 83% were managed medically (antiplatelets or anticoagulants) and 11% underwent endovascular treatment. An underlying disease or triggering event was identified in 71%, most commonly trauma (35%, cervical manipulative therapy in 13%), infection (18%), fibromuscular dysplasia (16%), and hereditary connective tissue disorder (8%). In-hospital mortality was 1%. 80% of patients had a good functional outcome (mRS 0-1) at follow-up. Two recurrences (3%) were reported. CONCLUSIONS: Triple or quadruple CeAD mostly affected young women, and underlying disease or triggering event could be identified in more than two-thirds of patients. Less than two-thirds of triple or quadruple CeAD patients suffered ischemic stroke. Most patients were managed medically and the majority had a favorable outcome.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/us/
dc.subject.enVINTAGE
dc.title.enTriple and quadruple cervical artery dissections: a systematic review of individual patient data
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s00415-019-09269-1en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed30904955en_US
bordeaux.journalJournal of Neurologyen_US
bordeaux.page1383-1388en_US
bordeaux.volume266en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue6en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03212249
hal.version1
hal.date.transferred2021-04-29T12:26:42Z
hal.exporttrue
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