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Cervicocephalic Arterial Dissections: A Ten-Year Experience
Journal article   Peer reviewed

Cervicocephalic Arterial Dissections: A Ten-Year Experience

José Biller, William L Hingtgen, Harold P Adams, Wendy R. K Smoker, John C Godersky and Gilbert J Toffol
Archives of neurology (Chicago), Vol.43(12), pp.1234-1238
12/01/1986
DOI: 10.1001/archneur.1986.00520120019010
PMID: 3778258

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Abstract

•Between April 1976 and April 1986, cervicocephalic arterial dissections were diagnosed in 19 of 4531 patients undergoing cerebral arteriography for acute cerebrovascular symptoms. Most dissections were extracranial. Spontaneous cases were as frequent as those following known trauma. Cerebral infarction was the most common presentation. Thirteen patients received only medical therapy, and six had surgery. Most patients survived the initial insult. Many questions remain to be answered regarding the optimal management of this condition, but treatment should be individualized based on clinical status, computed tomography, and angiographic findings.

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