Abstract
Internal carotid artery (ICA) and vertebral artery (VA) dissections are among the common causes of stroke in middle-aged and young adults. The spectrum of clinical presentations of these dissections is broad. Many patients, especially those with ICA dissections, may never develop a stroke.
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References and Recommended Reading
Hart RG, Easton JD: Dissections of cervical and cerebral arteries. Neurol Clin 1983, 1:155–182. A superb review of the subject. Although it lacks some of the new information, it is extremely well researched and still is a valuable source.
Mokri B: Cervicocephalic arterial dissections. In Uncommon causes of stroke. Edited by Bogousslavsky J, Caplan L. United Kingdom: Cambridge University Press; 2001:211–229. A comprehensive review of subject, manageable length, well illustrated, up to date.
Mokri B: Spontaneous dissections of internal carotid arteries. The Neurologist 1997, 3:104–119. Very comprehensive and profusely illustrated source of information on spontaneous internal carotid artery dissections.
Andersen CA, Collins GJ Jr, Rich NM, et al.: Spontaneous dissection of the internal carotid artery associated with fibromuscular dysplasia. Am Surg 1980, 46:263–266.
Chiras J, Marciano S, Vega Molina J, et al.: Spontaneous dissecting aneurysm of the extracranial vertebral artery (20 cases). Neuroradiology 1985, 27:327–333. Report of 20 cases with a good review of vertebral artery dissections.
Garcia-Merino JA, Gutierrez JA, Lopez-Lozano JJ, et al.: Double lumen dissecting aneurysms of the internal carotid artery in fibromuscular dysplasia: case report. Stroke 1983, 14:815–818.
Kramer W: Hyperplasie fibromusclaire et anévrisme extracranien de la carotide interne avec syndrome parapharyngien typique. Rev Neurol (Paris) 1969, 120:239–244.
Mas JL, Bousser MG, Hasboun D, Laplane D: Extracranial vertebral artery dissections: a review of 13 cases. Stroke 1987, 18:1037–1047.
Mokri B, Okazaki H: Cystic medial necrosis and internal carotid artery dissection in a Marfan’s sibling: partial expression of Marfan’s syndrome. J Stroke Cerebrovasc Dis 1992, 2:100–105.
Austin MG, Schaefer RF: Marfan’s syndrome, with unusual blood vessel manifestations. Arch Pathol 1957, 64:205–209.
Lach B, Nair SG, Russell NA, Benoit BG: Spontaneous carotid-cavernous fistula and multiple arterial dissections in type IV Ehlers-Danlos syndrome: case report. J Neurosurg 1987, 66:462–467.
Schievink WI, Limburg M, Oorthuys JWE, et al.: Cerebrovascular disease in Ehlers-Danlos syndrome type IV. Stroke 1990, 21:626–632.
Mayer SA, Rubin BS, Starman BJ, Byers PH: Spontaneous multivessel cervical artery dissections in a patient with substitution of alanine for glycine (G13A) in the a 1 (I) chain of type I collagen. Neurology 1996, 47:552–556.
Mokri B, Stanson AW, Houser OW: Spontaneous dissections of the renal arteries in a patient with previous spontaneous dissections of the internal carotid arteries. Stroke 1985, 16:959–963.
Mokri B, Houser OW, Stanson AW: Multivessel cervicocephalic and visceral arterial dissections: pathogenic role of primary arterial disease in cervicocephalic arterial dissections. J Stroke Cerebrovasc Dis 1991, 1:117–123.
Mokri B, Piepgras DG, Wiebers DO, et al.: Familial occurrence of spontaneous dissection of the internal carotid artery. Stroke 1987, 18:246–251.
Schievink WI, Mokri B, Michels VV, Piepgras DG: Familial association of intracranial aneurysms and cervical artery dissections. Stroke 1991, 22:1426–1430.
Boström K, Liliequist B: Primary dissecting aneurysm of the extracranial part of the internal carotid and vertebral arteries: a report of three cases. Neurology 1967, 17:179–186.
Brice JG, Cromptom MR: Spontaneous dissecting aneurysms of the cervical internal carotid artery. BMJ 1964, 2:790–792.
Liliequist B: The roentgenologic appearance of spontaneous dissecting aneurysm of the cervical internal carotid artery: report of a case. Vasc Surg 1968, 2:223–226.
Luken MG III, Ascherl GF Jr, Correll JW, Hilal SK: Spontaneous dissecting aneurysms of the extracranial internal carotid artery. Clin Neurosurg 1979, 26:353–375.
Brandt T, Hausser I, Oberk E, et al.: Ultrastructural connective tissue abnormalities in patients with spontaneous cervicocerebral artery dissections. Ann Neurol 1998, 44:281–285.
D’Anglejan-Chatillon J, Ribeiro V, Mas JL, et al.: Migraine: a risk factor for dissection of cervical arteries. Headache 1989, 29:560–561. A case-controlled study demonstrating migraine as a risk factor in cervical artery dissections.
Barbour PJ, Castaldo JE, Rae-Grant AD, et al.: Internal carotid artery redundancy is significantly associated with dissection. Stroke 1994, 25:1201–1206.
Mokri B, Sundt TM Jr, Houser OW, Piepgras DG: Spontaneous dissection of the cervical internal carotid artery. Ann Neurol 1986, 19:126–138.
Mokri B, Houser OW, Sandok BA, Piepgras DG: Spontaneous dissections of the vertebral arteries. Neurology 1988, 38:880–885. Report of a fairly large series of vertebral artery dissections. Clinical and angiographic manifestations and outcomes are illustrated and discussed.
Schievink WI, Mokri B, Piepgras DG: Spontaneous dissections of cervicocephalic arteries in childhood and adolescence. Neurology 1994, 44:1607–1612.
Mokri B: Headache in spontaneous carotid and vertebral artery dissections. In Headache. Edited by Goadsby PJ, Silberstein SD. United Kingdom: Butterworth-Heinemann; 1997:327–353. The most comprehensive review of headaches in carotid and vertebral artery dissections, profusely illustrated.
Fisher CM: The headache and pain of spontaneous carotid dissection. Headache 1982, 22:60–65. Keen observations by a superb clinician. Excellent discussion.
Caplan LR, Baquis GD, Pessin MS, et al.: Dissection of the intracranial vertebral artery. Neurology 1988, 38:868–877. A very good discussion of the intracranial vertebral artery dissections.
Caplan LR, Zarins CK, Hemmati M: Spontaneous dissection of the extracranial vertebral arteries. Stroke 1985, 16:1030–1038.
Nguyen Bui L, Brant-Zawadzki M, Verghese P, Gillan G: Magnetic resonance angiography of cervicocranial dissection. Stroke 1993, 24:126–131.
Kitanka C, Tanaka JI, Kuwahara M, et al.: Magnetic resonance imaging study of intracranial vertebrobasilar artery dissections. Stroke 1994, 25:571–575.
Zuber M, Meary E, Meder JF, Mas JL: Magnetic resonance imaging and dynamic CT scan in cervical artery dissections. Stroke 1994, 25:576–581.
Saver JL, Easton JD: Dissections and trauma of cervicocerebral arteries. In Stroke: Pathophysiology, Diagnosis, and Management, edn 2. Edited by Barnett HJM, Mohr JP, Stein BM, Yatsu FM. New York: Churchill Livingstone; 1998:769–786. An excellent review of dissections of the cervical and cerebral arteries.
Mokri B: Dissections of cervicocephalic arteries. In Sundt’s Occlusive Cerebrovascular Disease, 2nd edition. Edited by Meyer FB. Philadelphia: WB Saunders; 1994:45–70.
Perez-Cruet MJ, Patwardhan RV, Mawad ME, Rose JE: Treatment of dissecting pseudoaneurysm of the cervical internal carotid artery using a wall stent and detachable coils: case report. Neurosurgery 1997, 40:622–625.
Mase M, Banno T, Yamada K, Katano H: Endovascular stent placement for multiple aneurysms of the extracranial internal carotid artery: technical case report. Neurosurgery 1995, 37:832–835.
Marotta TR, Buller C, Taylor D, et al.: Autologous vein-covered stent repair of a cervical internal carotid artery pseudoaneurysm: technical case report. Neurosurgery 1998, 42:408–412.
Halbach VV, Higashida RT, Dowd CF, et al.: Endovascular treatment of vertebral artery dissections and pseudoaneurysms. J Neurosurg 1993, 79:183–191.
Leys D, Moulion TH, Stojkovic T, et al.: Follow-up of patients with history of cervical artery dissection. Cerebrovasc Dis 1995, 5:43–49.
Schievink WI, Mokri B, O’Fallon WM: Rate of recurrence of cervical arterial dissection stroke. N Engl J Med 1994, 330:393–397.
Silbert PL, Mokri B, Schievink WI: Headache and neck pain in spontaneous internal carotid and vertebral artery dissections. Neurology 1995, 45:1517–1522. An excellent study of headaches, face pain, and neck pain in a large group of patients with carotid and vertebral artery dissections.
Fay T: Atypical facial neuralgia: syndrome of vascular pain. Ann Otol Rhinol Laryngol 1932, 41:1030.
Nichols FT, Mawad M, Mohr JP, et al.: Focal headache during balloon inflation in the internal carotid and middle cerebral arteries. Stroke 1990, 21:555–559.
Nichols FT, Mawad M, Mohr JP: Focal headache during balloon inflation in vertebral and basilar arteries. Headache 1993, 33:87–89.
Moskowitz MA, Buzzi MG, Sakas DE, Linnik MD: Pain mechanisms underlying vascular headaches: progress report 1989. Rev Neurol (Paris) 1989, 145:181–193.
Bousser MG, Baron JC, Chiras J: Ischemic strokes and migraine. Neuroradiology 1985, 27:583–587.
Shuaib A: Stroke from other etiologies masquerading as migraine-stroke. Stroke 1991, 22:1068–1074.
Young G, Humphrey P: Vertebral artery dissection mimicking migraine. J Neurol Neurosurg Psychiatry 1995, 59:340–341.
Stewart WF, Lipton RB, Celentano DD, Reed ML: Prevalence of migraine headache in the United States: relation to age, income, race, and other sociodemographic factors. JAMA 1992, 267:64–69.
Biousse V, D’Anglejan J, Touboui PJ, et al.: Headache in 67 patients with extracranial internal carotid artery dissection. Cephalalgia 1991, 11:232–233. Analysis of headache and neck pain in 65 patients with spontaneous carotid dissection.
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Mokri, B. Headaches in cervical artery dissections. Current Science Inc 6, 209–216 (2002). https://doi.org/10.1007/s11916-002-0037-2
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DOI: https://doi.org/10.1007/s11916-002-0037-2