The clinical and imaging features of 118 patients with spontaneous cerebral arterial dissections presenting with ischemic stroke

• Published in: Chung-hua nei kʿo tsa chih Vol. 55; no. 5; p. 366
• Main Authors: Chen, H B, Li, Z H, Hong, H, Liu, G, Zhang, A W, Zhang, J, Luo, B N, Zeng, J S
• Format: Journal Article
• Language: Chinese
• Published: China 01-05-2016
• Subjects: Adult; Aneurysm, Dissecting - complications; Aneurysm, Dissecting - pathology; Asian Continental Ancestry Group; Brain; Cerebral Arteries - pathology; Cerebral Infarction - etiology; Cerebral Infarction - pathology; China; Constriction, Pathologic; Female; Humans; Hypercholesterolemia; Hypertension; Ischemic Attack, Transient - etiology; Ischemic Attack, Transient - pathology; Male; Middle Aged; Prospective Studies; Retrospective Studies; Risk Factors; Smoking; Stroke - complications; Stroke - diagnosis; Stroke - etiology; Stroke - therapy
• ISSN: 0578-1426
• DOI: 10.3760/cma.j.issn.0578-1426.2016.05.007

To investigate the clinical and radiologic features of patients with spontaneous cerebral arterial dissections (CADs) presenting with ischemic stroke and to explore the effect of gender and age on those features.
Patients admitted to our stroke center diagnosed as ischemic stroke secondary to CADs from August 2008 to April 2015 were prospectively registered. Patients aged between 15 to 80 years old, who had acute brain infarcts within the territory of a major cerebral artery affected by a dissection confirmed by the neuroradiological examinations, were enrolled in the study. The followings were the exclusion criteria: (1) there were any potential causes for the brain infarcts other than CADs; (2) CADs were the results of a definite cause; (3) the clinical data were incomplete.
A total of 118 patients were enrolled in the study with the mean age of (44.2±12.8) years old. There were 87 men (73.7%) and 67 patients (56.8%) aged under 45 years old. Smoking (41.5%), hypertension (25.4%) and hypercholesterolemia (21