作者
Stéphanie Debette, Annette Compter, Marc-Antoine Labeyrie, Maarten Uyttenboogaart, Tina M Metso, Jennifer J Majersik, Barbara Goeggel-Simonetti, Stefan T Engelter, Alessandro Pezzini, Philippe Bijlenga, Andrew M Southerland, Olivier Naggara, Yannick Béjot, John W Cole, Anne Ducros, Giacomo Giacalone, Sabrina Schilling, Peggy Reiner, Hakan Sarikaya, Janna C Welleweerd, L Jaap Kappelle, Gert Jan De Borst, Leo H Bonati, Simon Jung, Vincent Thijs, Juan J Martin, Tobias Brandt, Caspar Grond-Ginsbach, Manja Kloss, Tohru Mizutani, Kazuo Minematsu, James F Meschia, Vitor M Pereira, Anna Bersano, Emmanuel Touzé, Philippe A Lyrer, Didier Leys, Hugues Chabriat, Hugh S Markus, Bradford B Worrall, Stéphane Chabrier, Ralph Baumgartner, Christian Stapf, Turgut Tatlisumak, Marcel Arnold, Marie-Germaine Bousser
发表日期
2015/6/1
来源
The Lancet Neurology
卷号
14
期号
6
页码范围
640-654
出版商
Elsevier
简介
Spontaneous intracranial artery dissection is an uncommon and probably underdiagnosed cause of stroke that is defined by the occurrence of a haematoma in the wall of an intracranial artery. Patients can present with headache, ischaemic stroke, subarachnoid haemorrhage, or symptoms associated with mass effect, mostly on the brainstem. Although intracranial artery dissection is less common than cervical artery dissection in adults of European ethnic origin, intracranial artery dissection is reportedly more common in children and in Asian populations. Risk factors and mechanisms are poorly understood, and diagnosis is challenging because characteristic imaging features can be difficult to detect in view of the small size of intracranial arteries. Therefore, multimodal follow-up imaging is often needed to confirm the diagnosis. Treatment of intracranial artery dissections is empirical in the absence of data from …
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S Debette, A Compter, MA Labeyrie, M Uyttenboogaart… - The Lancet Neurology, 2015