Interventional management for secondary intracranial extension of spontaneous cervical arterial dissection.
Publication/Presentation Date
12-17-2010
Abstract
BACKGROUND: Spontaneous cervical artery dissection (sCAD) is an important etiology of stroke and subarachnoid hemorrhage (SAH) in young patients. Anticoagulation and platelet antiaggregant medications are the treatment of choice, while the indications of endovascular treatment are still to be defined.
CASE DESCRIPTION: We report two cases of medically refractory sCAD with intracranial extension treated successfully with multiple intra and extracranial stents. The patients were evaluated at 4 years and 1-year follow-up.
CONCLUSION: Progressive, spontaneous cervical artery dissection with intracranial extension despite adequate medical therapy is rare and associated with worse prognosis. Given the rapid evolution of interventional technology and techniques, if we are better able to predict the cohort of patients that fail medical management, earlier endovascular therapy may be considered.
Volume
1
First Page
82
Last Page
82
ISSN
2152-7806
Published In/Presented At
Smith, M. J., Santillan, A., Segal, A., Patsalides, A., & Gobin, Y. P. (2010). Interventional management for secondary intracranial extension of spontaneous cervical arterial dissection. Surgical neurology international, 1, 82. https://doi.org/10.4103/2152-7806.74092
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
21206534
Department(s)
Administration and Leadership
Document Type
Article