Le dissecazioni dei vasi sopraortici. Presentazione di casistica clinica multicentrica

Translated title of the contribution: Spontaneous supraortic arterial dissection. Multicentric clinical study

Donata Guidetti, Giovanni Malferrari, Riccardo Zucco, Anna Pisanello, Giulio Zuccoli, Gian Andrea Ottonello, Giulia Brusa, Alfredo Seneghini, Giovanni Regesta, Carla Zanferrari, Carla Bertolino, Umberto Scoditti, Paolo Cerrato, Maria Federica Grasso, Marco Giraudo, Chiara Baima, Enzo Grasso, Francesco Causin, Lucio Castellan, Stefano PeriniVito Toso, Gabriele Ciucci, Giovanni Padoan, Giovanni Bianchedi, Antonino Vecchio, Domenico Consoli, Gaetano Procaccianti, Tommaso Sacquegna, Pietro Bassi, Giuseppe Mariani, Maria Vittoria Calloni, Antonella Gomitoni

Research output: Contribution to journalArticlepeer-review

Abstract

Spontaneous supraaortic arterial dissection represents a rare pathology; it ranges from 2,6 to 2,9 per 100.000 per year for the carotid arteries and from 1,3 to 1,5 per 100.000 per year for the vertebral arteries. Spontaneous dissection represents the cause of 20 % of the stroke in patients under the age of 30 and 10 % in patients under the age of 40. Etiology include neck trauma, different connective tissue disorders and anomalies of the vascular wall and probably involves a combination of genetic and environmental factors. Typical presentation of spontaneous internal artery dissection is an ipsilateral pain in neck and face with Horner's syndrome and contralateral deficit; lower cranial nerve palsy have been reported in association with dissection. Therapy includes anticoagulation becouse is supported by the demonstration of emboli as the most common cause of stroke in these patients; percutaneous angioplasty and stent deployment may be also indicated. Surgical treatment of dissections, consisting of an interposition graft or extracranial-intracranial bypass, is indicated only for those patients who are not candidates for endovascular treatment. The aim of this review is to present our multicentric clinical experience.

Translated title of the contributionSpontaneous supraortic arterial dissection. Multicentric clinical study
Original languageItalian
Pages (from-to)287-296
Number of pages10
JournalRivista di Neurobiologia
Volume47
Issue number4
Publication statusPublished - 2001

ASJC Scopus subject areas

  • Neuroscience(all)

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