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Recurrent Spontaneous Cervical-Artery Dissection NEJM 330:393-397, Schievink,W.I.,et al, 1994 See this aricle in Pubmed Article Abstract The mean age of the patients was 44.9 years(range,16 to 76).Internal carotid arteries were affected in 150 patients,vertebral arteries in 37, and both in 13.Multivessel dissections were present in 28 percent of the patients.The mean follow-up was 7.4 years.Recurrent dissection occurred only in arteries not previously involved by dissection.A recurrent arterial dissection developed in 16 patients(8 percent)-within a month after the initial dissection in 4 patients(2 percent)and between 1.4 and 8.6 years later in 12 patients(a rate of 1 percent per year).The cumulative rate of recurrent dissection among patients followed for 10 years was 11.9 percent.Younger patients had a greater risk of recurrent dissection.Although dissections in multiple cervical vessels are common at presentation,after the first month the risk of recurrent dissection is only about 1 percent per year.

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(click to filter results - removes previous filter) arterial dissection arterial dissection,carotid arterial dissection,multiple arterial dissection,recurrent arterial dissection,vertebral

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