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.
| Original language | Italian |
|---|---|
| Pages (from-to) | 287-296 |
| Number of pages | 10 |
| Journal | Rivista di Neurobiologia |
| Volume | 47 |
| Issue number | 4 |
| Publication status | Published - 2001 |
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ASJC Scopus subject areas
- Neuroscience(all)
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Le dissecazioni dei vasi sopraortici. Presentazione di casistica clinica multicentrica. / Guidetti, Donata; Malferrari, Giovanni; Zucco, Riccardo; Pisanello, Anna; Zuccoli, Giulio; Ottonello, Gian Andrea; Brusa, Giulia; Seneghini, Alfredo; Regesta, Giovanni; Zanferrari, Carla; Bertolino, Carla; Scoditti, Umberto; Cerrato, Paolo; Grasso, Maria Federica; Giraudo, Marco; Baima, Chiara; Grasso, Enzo; Causin, Francesco; Castellan, Lucio; Perini, Stefano; Toso, Vito; Ciucci, Gabriele; Padoan, Giovanni; Bianchedi, Giovanni; Vecchio, Antonino; Consoli, Domenico; Procaccianti, Gaetano; Sacquegna, Tommaso; Bassi, Pietro; Mariani, Giuseppe; Calloni, Maria Vittoria; Gomitoni, Antonella.
In: Rivista di Neurobiologia, Vol. 47, No. 4, 2001, p. 287-296.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Le dissecazioni dei vasi sopraortici. Presentazione di casistica clinica multicentrica
AU - Guidetti, Donata
AU - Malferrari, Giovanni
AU - Zucco, Riccardo
AU - Pisanello, Anna
AU - Zuccoli, Giulio
AU - Ottonello, Gian Andrea
AU - Brusa, Giulia
AU - Seneghini, Alfredo
AU - Regesta, Giovanni
AU - Zanferrari, Carla
AU - Bertolino, Carla
AU - Scoditti, Umberto
AU - Cerrato, Paolo
AU - Grasso, Maria Federica
AU - Giraudo, Marco
AU - Baima, Chiara
AU - Grasso, Enzo
AU - Causin, Francesco
AU - Castellan, Lucio
AU - Perini, Stefano
AU - Toso, Vito
AU - Ciucci, Gabriele
AU - Padoan, Giovanni
AU - Bianchedi, Giovanni
AU - Vecchio, Antonino
AU - Consoli, Domenico
AU - Procaccianti, Gaetano
AU - Sacquegna, Tommaso
AU - Bassi, Pietro
AU - Mariani, Giuseppe
AU - Calloni, Maria Vittoria
AU - Gomitoni, Antonella
PY - 2001
Y1 - 2001
N2 - 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.
AB - 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.
KW - Arterial dissection
KW - Supraortic vessels
UR - http://www.scopus.com/inward/record.url?scp=0035733747&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035733747&partnerID=8YFLogxK
M3 - Articolo
AN - SCOPUS:0035733747
VL - 47
SP - 287
EP - 296
JO - Rivista Italiana di Neurobiologia
JF - Rivista Italiana di Neurobiologia
SN - 0035-6336
IS - 4
ER -