{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:27:02Z","timestamp":1747182422011,"version":"3.40.5"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T00:00:00Z","timestamp":1679443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Young adults who present to the ED with neck pain following non\u2010penetrating, seemingly trivial trauma to the neck, are at risk of neck artery dissection and subsequent stroke. Sport\u2010related neck injury is the chief cause. Physical examination may often be unremarkable, and although there may be reluctance to expose young patients to radiation, radiological imaging is central to making a diagnosis of arterial wall disruption. A comprehensive literature search was performed in relation to neck artery dissection, and the evidence was scrutinised. We discuss the typical mechanism of injury, symptoms, anatomical considerations and clinical aids in diagnosis of neck artery dissection. Although the incidence is low, neck artery dissection has a mortality of 7%. As such, it is important for front\u2010line physicians to have a high suspicion of the diagnosis and a low threshold to organise radiological examinations, specifically computerised tomography. Early detection of neck artery dissection will trigger clinical protocols that call for multi\u2010disciplinary team management of this condition. In general, guideline\u2010based recommendation for the management of neck artery dissection involving an intimal flap is by anti\u2010platelet therapy while treatment of neck artery dissection that results in a pseudo\u2010aneurysm or thrombosis is managed by surgical intervention or endovascular techniques. Close follow up combined with antithrombotic treatment is recommended in these individuals, the goal being prevention of stroke.<\/jats:p>","DOI":"10.1111\/1742-6723.14202","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:14:35Z","timestamp":1679530475000},"page":"384-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Review article: Non\u2010penetrating neck artery dissection in young adults: Not to be missed!"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0993-7778","authenticated-orcid":false,"given":"Raeed","family":"Deen","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery Wollongong Hospital  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calyb","family":"Austin","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Wollongong Hospital  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Bullen","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Wollongong Hospital  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,22]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441206"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.029390"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.529883"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2396987317720544"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-012-6485-7"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-017-1836-9"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-022-02906-3"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-011671"},{"volume-title":"Anatomy, Regional and Applied","year":"1984","author":"Last RJ","key":"e_1_2_15_10_1"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2003.016774"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000455391"},{"volume-title":"Pseudoaneurysm","year":"2022","author":"Rivera PA","key":"e_1_2_15_13_1"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2013.00133"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199911000-00004"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3337"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31823de8a0"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2016.09.016"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-012-0420-2"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/NRL.0b013e3182675511"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2005.02.016"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226333"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S119247"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/CRD.0b013e318247cd15"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000014857"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1189"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)70018-9"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e3181f7d043"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carj.2018.01.004"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-018-0559-1"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2007.127639"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-20-7279"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2021-000873"},{"key":"e_1_2_15_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1160"},{"key":"e_1_2_15_35_1","first-page":"2328","article-title":"Angioplasty and stenting in carotid dissection with or without associated pseudoaneurysm","volume":"26","author":"Kadkhodayan Y","year":"2005","journal-title":"AJNR Am. 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