Cervical artery dissection is dissection of one of the layers that compose the carotid and vertebral artery in the neck (cervix).[1][2] They include:[1]
Carotid artery dissection, a separation of the layers of the artery wall supplying oxygen-bearing blood to the head and brain.[3]
Vertebral artery dissection, a flap-like tear of the inner lining of the vertebral artery that supply blood to the brain and spinal cord.[4]
Cervical dissections can be broadly classified as either "spontaneous" or traumatic. Cervical artery dissections are a significant cause of strokes in young adults.[5]
A dissection typically results in a tear in one of the layers of the arterial wall.[2] The result of this tear is often an intramural hematoma and/or aneurysmal dilation[2][6] in the arteries leading to the intracranial area.[2][7]
Signs and symptoms of a cervical artery dissection are often non-specific and can be localized or generalized.[1][2] There is no specific treatment, although most patients are either given an anti-platelet or anti-coagulation agent to prevent or treat strokes.[2]
^ abcd"When a pain in the neck is serious". Harvard Health. Harvard Publishing. August 2017. Retrieved 8 January 2020.
^ abcdef"Cervical (Carotid or Vertebral) Artery Dissection". Cleveland Clinic. 2019-05-24. Archived from the original on 2019-11-29. Retrieved 2021-11-03.
^Jasmin L. "Carotid Dissection". Cedars-Sinai. Archived from the original on 2019-09-02. Retrieved 2021-11-03.
^"Vertebral Artery: What Is It, Location, Anatomy and Function". Cleveland Clinic. 2021-07-23. Archived from the original on 2021-11-06. Retrieved 2021-11-03.
^Lee VH, Brown RD, Mandrekar JN, Mokri B (November 2006). "Incidence and outcome of cervical artery dissection: a population-based study". Neurology. 67 (10): 1809–1812. doi:10.1212/01.wnl.0000244486.30455.71. PMID 17130413. S2CID 72123054.
^Chaibi A, Russell MB (March 2019). "A risk-benefit assessment strategy to exclude cervical artery dissection in spinal manual-therapy: a comprehensive review". Annals of Medicine. 51 (2): 118–127. doi:10.1080/07853890.2019.1590627. PMC 7857472. PMID 30889367.
^Ben Hassen W, Machet A, Edjlali-Goujon M, Legrand L, Ladoux A, Mellerio C, et al. (December 2014). "Imaging of cervical artery dissection". Diagnostic and Interventional Imaging. FMC: Cerebrovascular diseases. 95 (12): 1151–1161. doi:10.1016/j.diii.2014.10.003. PMID 25632417.
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