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Recurrence of Cervical Artery Dissection:A Prospective Study of 81 Patients
Stroke 27:1804-1807, Bassetti,C.,et al, 1996
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Article Abstract
Three patients died of the consequences of stroke,and four patients were unavailable for follow-up.Three of the remaining 74 patients(4%)had a recurrent carotid dissection while under prophylaxis with aspirin(n=2)or anticoagulation(n=1).None of the patients had a recurrent vertebral dissection.Recurrent carotid dissection occurred 16 month to 4 years after the first episode and presented with acute head and neck pain(n=2)and hemispheric transient ischemic attack(n=1).In one patient recurrence was documented by Doppler and MRI at the level of the first dissection.We confirm that recurrence of SCAD is uncommon and usually represents a benign condition.Delayed recurrence seems to be more common than previously suggested and can occur at the level of the previously dissected vessel.
 
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arterial dissection
arterial dissection,carotid
arterial dissection,recurrent
arterial dissection,vertebral
carotid artery disease
carotid artery disease,asymptomatic
neck pain
pain,head
transient ischemic attack
treatment of neurologic disorder
vertebral artery

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