Risk factors and clinical features of craniocervical arterial dissection

Thomas, Lucy C., Rivett, Darren A., Attia, John R., Parsons, Mark and Levi, Christopher (2011) Risk factors and clinical features of craniocervical arterial dissection. Manual Therapy, 16 4: 351-356. doi:10.1016/j.math.2010.12.008

Author Thomas, Lucy C.
Rivett, Darren A.
Attia, John R.
Parsons, Mark
Levi, Christopher
Title Risk factors and clinical features of craniocervical arterial dissection
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
Publication date 2011-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.math.2010.12.008
Open Access Status Not yet assessed
Volume 16
Issue 4
Start page 351
End page 356
Total pages 6
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Language eng
Abstract Craniocervical arterial dissection is one of the most common causes of ischaemic stroke in young people and is occasionally associated with neck manipulation. Identification of individuals at risk will guide risk management. Early recognition of dissection in progress will expedite medical intervention. Study aims were to identify risk factors and presenting features of craniocervical arterial dissection. Medical records of patients from the Hunter region of New South Wales, Australia aged ≤55 years with radiographically confirmed or suspected vertebral or internal carotid artery dissection, were retrospectively compared with matched controls with stroke from some other cause. Records were inspected for details of clinical features, presenting signs and symptoms and preceding events. Records of 47 dissection patients (27 males, mean age 37.6 years) and 43 controls (22 males, mean age 42.6 years) were inspected. Thirty (64%) dissection patients but only three (7%) controls reported an episode of mild mechanical trauma, including manual therapy, to the cervical spine within the preceding three weeks. Mild mechanical trauma to the head and neck was significantly associated with craniocervical arterial dissection (OR 23.53). Cardiovascular risk factors for stroke were less evident in the dissection group (<1 factor per case) compared to the controls (>3).
Keyword Carotid artery
Cervical manipulation
Internal dissection
Vertebral artery dissection
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 31 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 26 Feb 2014, 20:16:52 EST by Ms Kate Rowe on behalf of School of Health & Rehabilitation Sciences