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Article Dans Une Revue International Journal of Stroke Année : 2015

Predictors of delayed stroke in patients with cervical artery dissection.

Christoph Lichy
  • Fonction : Auteur
Antti Metso
  • Fonction : Auteur
Alessandro Pezzini
  • Fonction : Auteur
Didier Leys
  • Fonction : Auteur
Tiina Metso
  • Fonction : Auteur
Philippe Lyrer
  • Fonction : Auteur
Vincent Thijs
  • Fonction : Auteur
Manja Kloss
  • Fonction : Auteur
Valeria Caso
  • Fonction : Auteur
Maria Sessa
  • Fonction : Auteur
Chantal Lamy
Elizabeth Medeiros
  • Fonction : Auteur
Anna Bersano
  • Fonction : Auteur
Emmanuel Touze
  • Fonction : Auteur
Turgut Tatlisumak
  • Fonction : Auteur
Tobias Brandt
  • Fonction : Auteur
Stefan Engelter
  • Fonction : Auteur
Caspar Grond-Ginsbach
  • Fonction : Auteur

Résumé

Stroke in patients with acute cervical artery dissection may be anticipated by initial transient ischemic or nonischemic symptoms. Identifying risk factors for delayed stroke upon cervical artery dissection. Cervical artery dissection patients from the multicenter Cervical Artery Dissection and Ischemic Stroke Patients study were classified as patients without stroke (n = 339), with stroke preceded by nonstroke symptoms (delayed stroke, n = 244), and with stroke at onset (n = 382). Demographics, clinical, and vascular findings were compared between the three groups. Patients with delayed stroke were more likely to present with occlusive cervical artery dissection (P < 0.001), multiple cervical artery dissection (P = 0.031), and vertebral artery dissection (P < 0.001) than patients without stroke. No differences were observed in age, smoking, arterial hypertension, hypercholesterolemia, migraine, body mass index, infections during the last week, and trauma during the last month, but patients with delayed stroke had less often transient ischemic attack (P < 0.001) and local signs (Horner syndrome and cranial nerve palsy; P < 0.001). Occlusive cervical artery dissection, multiple cervical artery dissection, and vertebral artery dissection were associated with an increased risk for delayed stroke. No other risk factors for delayed stroke were identified. Immediate cervical imaging of cervical artery dissection patients without ischemic stroke is needed to identify patients at increased risk for delayed ischemia.
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Dates et versions

hal-01253348 , version 1 (09-01-2016)

Identifiants

  • HAL Id : hal-01253348 , version 1
  • PUBMED : 23227939

Citer

Christoph Lichy, Antti Metso, Alessandro Pezzini, Didier Leys, Tiina Metso, et al.. Predictors of delayed stroke in patients with cervical artery dissection.. International Journal of Stroke, 2015, 10 (3), pp.360-3. ⟨hal-01253348⟩
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