spontaneous cervical artery dissection: the borgess classification

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ID: 135718
2013
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Ranked #64 of 263 articles by views in journal of photochemistry and photobiology a: chemistry

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Abstract
ABSTRACTBackground and Purpose: The pathogenesis of spontaneous cervical artery dissections (sCAD) and its best medical treatment are debated. This may be due to a lack of clear classification of sCAD. We propose the new Borgess classification of sCAD, based on the presence or absence of intimal tear as depicted on imaging studies and effect on blood flow. Materials and Methods: This is a single-center investigator-initiated registry on consecutive patients treated for sCAD. In the Borgess classification, type I dissections have intact intima and type II dissections have an intimal tear. Results: Forty-four patients and 52 dissected arteries were found. Forty-nine of 52 dissections (93%) were treated with dual anti-platelet therapy. Twenty-one of 52 dissections were type I; 31 were type II. Type I dissections were more likely to present with ischemic symptoms (stroke, TIA) (p=0.001). More type I dissections occurred in the vertebral artery, while more type II dissections occurred in the internal carotid artery (p
Reference Key
eal-ali2013frontiersspontaneous Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Firas eAl-Ali;Brandon C Perry
Journal journal of photochemistry and photobiology a: chemistry
Year 2013
DOI
10.3389/fneur.2013.00133
URL
http://journal.frontiersin.org/Journal/10.3389/fneur.2013.00133/full
Keywords
stroke dissection diseases of the nervous system pathophysiologyneurology

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