Cervical Dissections: Diagnosis, Management, and Endovascular Treatment

Sameer A. Ansari*, Hemant Parmar, Mohannad Ibrahim, Joseph J. Gemmete, Dheeraj Gandhi

*Corresponding author for this work

Research output: Contribution to journalReview article

14 Scopus citations

Abstract

Cervical arterial dissections and dissecting aneurysms are relatively rare pathologies, but can be associated with significant morbidity from ischemic complications. We review the challenges in diagnosing cervical arterial dissections, their unique clinical presentations and imaging characteristics. Although the majority of cervical dissections heal spontaneously with medical management, we discuss the specific indications for surgical or endovascular treatment to prevent thromboembolic complications. Furthermore, we provide a detailed technical review on endovascular stent reconstruction, the primary interventional option for symptomatic cervical dissections and dissecting aneurysms refractory to medical management.

Original languageEnglish (US)
Pages (from-to)257-270
Number of pages14
JournalNeuroimaging Clinics of North America
Volume19
Issue number2
DOIs
StatePublished - May 1 2009

Keywords

  • Cervical dissection
  • Diagnosis
  • Dissecting aneurysm
  • Endovascular treatment
  • Imaging
  • Management
  • Stent reconstruction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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