Differences and Similarities Between Spontaneous Dissections of the Internal Carotid Artery and the Vertebral Artery

• Published in: Stroke (1970) 2013-06, Vol.44 (6), p.1537-1542
• Main Authors: VON BABO, Michelle, DE MARCHIS, Gian Marco, MATTLE, Heinrich P, BAUMGARTNER, Ralf W, BOUSSER, Marie-Germaine, ARNOLD, Marcel, SARIKAYA, Hakan, STAPF, Christian, BUFFON, Fréderique, FISCHER, Urs, HELDNER, Mirjam R, GRALLA, Jan, JUNG, Simon, GOEGGEL SIMONETTI, Barbara
• Format: Article
• Language: English
• Subjects: Adult; Angiography; Biological and medical sciences; Carotid Artery Diseases - diagnosis; Carotid Artery Diseases - epidemiology; Carotid Artery Diseases - physiopathology; Carotid Artery, Internal - diagnostic imaging; Delayed Diagnosis; Female; Humans; Incidence; Male; Medical sciences; Middle Aged; Neurology; Neurosurgery; Retrospective Studies; Risk Factors; Rupture, Spontaneous - diagnosis; Rupture, Spontaneous - epidemiology; Rupture, Spontaneous - physiopathology; Skull, brain, vascular surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Treatment Outcome; Vascular diseases and vascular malformations of the nervous system; Vertebral Artery - diagnostic imaging; Vertebral Artery Dissection - diagnosis; Vertebral Artery Dissection - epidemiology; Vertebral Artery Dissection - physiopathology
• ISSN: 0039-2499; 1524-4628
• DOI: 10.1161/STROKEAHA.113.001057

To compare potential risk factors, clinical symptoms, diagnostic delay, and 3-month outcome between spontaneous internal carotid artery dissection (sICAD) and spontaneous vertebral artery dissection (sVAD). We compared patients with sICAD (n=668) and sVAD (n=302) treated in 3 university hospitals. Patients with sICAD were older (46.3 ± 9.6 versus 42.0 ± 10.2 years; P