Jornal Vascular Brasileiro
Jornal Vascular Brasileiro
Brief Communication

Presentation of cerebral and cervical arterial dissections in Botucatu, Brazil: case series

Apresentação de dissecções arteriais cerebrais e cervicais em Botucatu, Brasil: uma série de casos

Gabriel Pinheiro Modolo; Elaine Keiko Fujisao; Niura Aparecida de Moura Ribeiro Padula; Felipe Aranibar Soares da Silva; Gustavo José Luvizutto; Marcone Lima Sobreira; Rodrigo Bazan; Carlos Clayton Macedo de Freitas

Downloads: 0
Views: 21


Abstract: Spontaneous dissection of the cervical and cerebral arteries is an important cause of stroke and disability in young patients. In this report, the authors present a case series of patients with spontaneous carotid, vertebral, or cerebral artery dissection who underwent digital angiography. A review of the published literature on this subject is also presented.


artery dissection, stroke, endovascular treatment


Resumo: A dissecção espontânea das artérias cervicais e cerebrais é uma causa importante de acidente vascular cerebral e incapacidade em pacientes jovens. Neste relato, é apresentada uma série de casos de pacientes com dissecção espontânea da artéria carótida, vertebral ou cerebral submetidos à angiografia digital. Além disso, é fornecida uma revisão da literatura sobre esse assunto.


dissecção da artéria, acidente vascular cerebral, tratamento endovascular


1 Brazilian Cerebrovascular Disease Society. Primeiro consenso brasileiro do tratamento da fase aguda do acidente vascular cerebral. Arq Neuropsiquiatr. 2001;59(4):972-80. PMid:11733849.

2 Saposnik G, Del Brutto OH, Iberoamerican Society of Cerebrovascular Diseases. Stroke in South America: a systematic review of incidence, prevalence, and stroke subtypes. Stroke. 2003;34(9):2103-7. PMid:12907823.

3 Pieri A, Spitz M, Valiente RA, Avelar WM, Silva GS, Massaro AR. Dissecção espontânea das artérias carótidas e vertebrais em uma população multiétnica. Arq Neuropsiquiatr. 2007;65(4-A):1050-5.

4 Griffiths D, Sturm J. Epidemiology and etiology of young stroke. Stroke Res Treat. 2011;2011:209370. PMid:21789269.

5 Reges DS, Mazzeo M, Rosalino R, Gagliardi VDB, Cerqueira LG, Gagliardi RJ. Cervical arterial dissection: Clinical characteristics in a neurology service in São Paulo, Brazil. Arq Neuropsiquiatr. 2019;77(9):632-7. PMid:31553393.

6 Dziewas R, Konrad C, Dräger B, et al. Cervical artery dissection - Clinical features, risk factors, therapy and outcome in 126 patients. J Neurol. 2003;250(10):1179-84. PMid:14586598.

7 Mergeani A, Popescu D, Antochi F. Spontaneous intracranial internal carotid artery dissection. Rom J Neurol Rev Rom Neurol. 2010;9(4):200-2.

8 Wang G, Zhang Z, Ayala C, Dunet DO, Fang J, George MG. Costs of hospitalization for stroke patients aged 18-64 years in the United States. J Stroke Cerebrovasc Dis. 2014;23(5):861-8. PMid:23954598.

9 Shin DH, Hong JM, Lee JS, et al. Comparison of potential risks between intracranial and extracranial vertebral artery dissections. Eur Neurol. 2014;71(5-6):305-12. PMid:24662973.

10 Pezzini A, Grond-Ginsbach C, Debette S, et al. Genetics of cervical artery dissection. Riv Ital di Neurobiol. 2008;5(1):22-31.

11 Guidetti D, Rota E, Morelli N, Immovilli P. Migraine and stroke: “vascular” comorbidity. Front Neurol. 2014;5:193. PMid:25339937.

12 CADISS trial investigators, Markus HS, Hayter E, Levi C, Feldman A, Venables G, Norris J. Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection (CADISS): a randomised trial. Lancet Neurol. 2015;14(4):361-7. PMid:25684164.

13 Wolfe CDA, Giroud M, Kolominsky-Rabas P, et al. Variations in stroke incidence and survival in 3 areas of Europe. Stroke. 2000;31(9):2074-9. PMid:10978032.

14 Touzé E, Gauvrit JY, Moulin T, Meder JF, Bracard S, Mas JL, Multicenter Survey on Natural History of Cervical Artery Dissection. Risk of stroke and recurrent dissection after a cervical artery dissection: a multicenter study. Neurology. 2003;61(10):1347-51. PMid:14638953.

15 Taylor FR. Incidence and outcome of cervical artery dissection: a population-based study - Commentary. Headache. 2007;47(3):460.

16 Debette S. Pathophysiology and risk factors of cervical artery dissection: what have we learnt from large hospital-based cohorts? Curr Opin Neurol. 2014;27(1):20-8. PMid:24300790.

17 Arnold M, Kappeler L, Georgiadis D, et al. Gender differences in spontaneous cervical artery dissection. Neurology. 2006;67(6):1050-2. PMid:17000975.

18 Perry BC, Al-Ali F. Spontaneous cervical artery dissection: the Borgess classification. Front Neurol. 2013;4:133. PMid:24062720.

19 Lyrer P, Engelter S. Antithrombotic drugs for carotid artery dissection. Cochrane Database Syst Rev. 2010;(10):CD000255. PMid:20927720.

20 Limaye K, Abla AA. We will use antiplatelets as our first choice for prevention of stroke recurrence in Cervical Arterial Dissection After Reading CADISS--will you? World Neurosurg. 2015;84(5):1182-4. PMid:26376201.

21 Traenka C, Jung S, Gralla J, et al. Endovascular therapy versus intravenous thrombolysis in cervical artery dissection ischemic stroke – Results from the SWISS registry. Eur Stroke J. 2018;3(1):47-56. PMid:31008337.

22 Bernardo F, Nannoni S, Strambo D, Bartolini B, Michel P, Sirimarco G. Intravenous thrombolysis in acute ischemic stroke due to intracranial artery dissection: a single-center case series and a review of literature. J Thromb Thrombolysis. 2019;48(4):679-84. PMid:31302824.

23 Spanos K, Karathanos C, Stamoulis K, Giannoukas AD. Endovascular treatment of traumatic internal carotid artery pseudoaneurysm. Injury. 2016;47(2):307-12. PMid:26453153.

24 Engelter ST, Traenka C, Lyrer P. Dissection of cervical and cerebral arteries. Curr Neurol Neurosci Rep. 2017;17(8):59. PMid:28667505.

Submitted date:

Accepted date:

615308eda953953646170922 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections