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The presence of <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> was systematically assessed using a standardized questionnaire. Stroke severity at admission was defined according to the National Institutes of Health Stroke Scale (<jats:styled-content style=\"fixed-case\">NIHSS<\/jats:styled-content>). Excellent outcome after 3 months was defined as a modified Rankin Scale of 0\u20131.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010three of 778 patients (8.1%) reported <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>+ patients presented less often with ischaemic stroke (41.3% vs. 63.9%, <jats:italic>P<\/jats:italic> &lt; 0.001), more often with dissection in the internal carotid artery (85.7% vs. 64.2%, <jats:italic>P<\/jats:italic> = 0.001), less often with vessel occlusion (19.0% vs. 34.1%, <jats:italic>P<\/jats:italic> = 0.017) and more often with excellent outcome at 3 months (92.1% vs. 75.4%, <jats:italic>P<\/jats:italic> = 0.002). Logistic regression analysis identified <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> as an independent predictor of excellent outcome after 3 months [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 3.96, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 1.22\u201312.87] adjusted to significant outcome predictors <jats:styled-content style=\"fixed-case\">NIHSS<\/jats:styled-content> on admission (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.82, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.79\u20130.86), Horner syndrome (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.95, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.16\u20133.29) and vessel occlusion (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.62, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.40\u20130.94) and to non\u2010significant predictors age, sex, pain and location of Ce<jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The presence of <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> in Ce<jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content> is associated with a benign clinical course and predicts a favourable outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.13031","type":"journal-article","created":{"date-parts":[[2016,4,27]],"date-time":"2016-04-27T17:07:25Z","timestamp":1461776845000},"page":"1183-1187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Prognostic significance of pulsatile tinnitus in cervical artery dissection"],"prefix":"10.1111","volume":"23","author":[{"given":"L.","family":"Kellert","sequence":"first","affiliation":[{"name":"Department of Neurology Heidelberg University Hospital Heidelberg Germany"},{"name":"Department of Neurology University Hospital Ludwig\u2010Maximilians University Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kloss","sequence":"additional","affiliation":[{"name":"Department of Neurology Heidelberg University Hospital Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Pezzini","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Sciences Neurology Clinic University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Debette","sequence":"additional","affiliation":[{"name":"Department of Neurology H\u00f4pital Lariboisi\u00e8re Paris France"},{"name":"Department of Neurology University Lille Nord de France INSERM U1171 Lille France"},{"name":"Department of Epidemiology and Public Health INSERM U744 Pasteur Institute Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Leys","sequence":"additional","affiliation":[{"name":"Department of Neurology University Lille Nord de France INSERM U1171 Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Caso","sequence":"additional","affiliation":[{"name":"Stroke Unit Perugia University Hospital Perugia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. 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A.","family":"Lyrer","sequence":"additional","affiliation":[{"name":"Department of Neurology Basel University Hospital Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. T.","family":"Engelter","sequence":"additional","affiliation":[{"name":"Department of Neurology Basel University Hospital Basel Switzerland"},{"name":"Neurorehabilitation Unit University Centre for Medicine of Aging and Rehabilitation Felix Platter Hospital Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3425-0094","authenticated-orcid":false,"given":"T. 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