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Article
December 1986

Cervicocephalic Arterial DissectionsA Ten-Year Experience

Author Affiliations

From the Division of Cerebrovascular Diseases, Department of Neurology (Drs Biller, Adams, and Toffol), the Neuroradiology Section, Department of Radiology (Drs Hingtgen and Smoker), and the Division of Neurosurgery, Department of Surgery (Dr Godersky), University of Iowa Hospital and Clinics, Iowa City.

Arch Neurol. 1986;43(12):1234-1238. doi:10.1001/archneur.1986.00520120019010
Abstract

•Between April 1976 and April 1986, cervicocephalic arterial dissections were diagnosed in 19 of 4531 patients undergoing cerebral arteriography for acute cerebrovascular symptoms. Most dissections were extracranial. Spontaneous cases were as frequent as those following known trauma. Cerebral infarction was the most common presentation. Thirteen patients received only medical therapy, and six had surgery. Most patients survived the initial insult. Many questions remain to be answered regarding the optimal management of this condition, but treatment should be individualized based on clinical status, computed tomography, and angiographic findings.

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