scholarly journals Is It Possible to Recognize Cervical Artery Dissection on Stroke Brain MR Imaging? A Matched Case-Control Study

2011 ◽  
Vol 32 (5) ◽  
pp. 869-873 ◽  
Author(s):  
O. Naggara ◽  
F. Soares ◽  
E. Touze ◽  
D. Roy ◽  
X. Leclerc ◽  
...  
2010 ◽  
Vol 30 (1) ◽  
pp. 36-40 ◽  
Author(s):  
V. Artto ◽  
T.M. Metso ◽  
A.J. Metso ◽  
J. Putaala ◽  
E. Haapaniemi ◽  
...  

Neurology ◽  
2002 ◽  
Vol 59 (3) ◽  
pp. 435-437 ◽  
Author(s):  
C. Tzourio ◽  
L. Benslamia ◽  
B. Guillon ◽  
S. Aidi ◽  
M. Bertrand ◽  
...  

Stroke ◽  
2001 ◽  
Vol 32 (suppl_1) ◽  
pp. 361-361
Author(s):  
Benoit Guillon ◽  
Christophe Tzourio ◽  
Karine Berthet ◽  
Lamia Benslamia ◽  
Christian Lucas ◽  
...  

P124 Background and Purpose: Spontaneous cervical artery dissection (SCAD) is a major cause of stroke in young adults, for which an underlying arteriopathy related to a generalized extracellular matrix defect could often be a predisposing condition. As triggering factors such as minor trauma/strenuous exercise or infection may be implicated in the occurrence of SCAD, we conducted a case-control study to assess the relationship between recent infection and risk of SCAD. Methods: Forty-eight patients with SCAD and 52 patients with ischemic stroke from other causes (controls) were recruited prospectively and consecutively from two centers during an 18-month period. Controls were included if they were roughly comparable to cases for sex and age. To analyze the history of recent infection (within one month before SCAD or ischemia), a face-to-face interview, with a structured questionnaire focused on symptoms typical of infection, was performed as soon as possible after admission. Results: Patients and controls were comparable for age (44.6 (7.5) vs 45.2 (9.1), P=0.72) and sex distribution (46% of women vs 43%, P=0.81). Recent infection was found in 31.3% (15/48) of patients with SCAD and 13.5% (7/52) of controls, yielding a crude odds ratio of 2.92 (95% CI, 1.07 to 8.74; P=0.032). In a logistic model adjusted for age, sex, center, educational level and migraine, the odds ratio for recent infection in cases was 3.05 (95% CI, 1.06 to 8.74; P=0.038). Conclusion: This prospective case-control study showed a significant association between recent infection and SCAD, consistent with the triggering role of an infectious process in the occurrence of SCAD.


Cephalalgia ◽  
2005 ◽  
Vol 25 (8) ◽  
pp. 575-580 ◽  
Author(s):  
A Pezzini ◽  
F Granella ◽  
M Grassi ◽  
C Bertolino ◽  
E Del Zotto ◽  
...  

The pathophysiology of spontaneous cervical artery dissection (sCAD) is largely unknown. An association with migraine has been suggested, but not definitively proven. In the setting of a hospital-based prospective case-control study we assessed personal and family history of migraine in 72 patients with sCAD, 72 patients with cerebral infarct unrelated to a CAD (non-CAD) and 72 control subjects. Personal history of migraine was significantly associated to sCAD compared to non-CAD (59.7% vs. 30.6%; OR 3.14; 95% CI 1.41-7.01) and controls (18.1%; OR 7.41; 95% CI 3.11-17.64). As opposed to migraine with aura, migraine without aura was significantly more frequent among sCAD than among non-CAD (56.9% vs. 25.0%; OR 3.91; 95% CI 1.71-8.90) and controls (12.5%; OR 9.84; 95% CI 3.85-25.16). Similar results were observed when the frequencies of family history of migraine were compared. These findings are consistent with the hypothesis that migraine may represent a predisposing condition for sCAD.


Sign in / Sign up

Export Citation Format

Share Document