{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:20:19Z","timestamp":1780636819686,"version":"3.54.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1996,10]]},"abstract":"<jats:p>\n            <jats:italic>Background and Purpose<\/jats:italic>\n            Spontaneous cervical artery dissection (SCAD) is a common cause of stroke in the young; however, its recurrence has been rarely studied. Recurrent SCAD at the level of the previously dissected vessel has been reported in only six patients.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods<\/jats:italic>\n            We prospectively evaluated and followed a series of 81 patients seen in our center with carotid (n=66) or vertebral (n=15) artery dissection, in whom the diagnosis was confirmed by angiography, MRI, or both. Repeated clinical and ultrasound examinations were performed in all patients during a mean follow-up of 34 months (range, 12 to 57 months).\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Results<\/jats:italic>\n            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 months 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.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            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.\n          <\/jats:p>","DOI":"10.1161\/01.str.27.10.1804","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"1804-1807","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":105,"title":["Recurrence of Cervical Artery Dissection"],"prefix":"10.1161","volume":"27","author":[{"given":"C.","family":"Bassetti","sequence":"first","affiliation":[{"name":"the Departments of Neurology and Radiology (E.T.), University Hospital, Inselspital, Bern, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Carruzzo","sequence":"additional","affiliation":[{"name":"the Departments of Neurology and Radiology (E.T.), University Hospital, Inselspital, Bern, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Sturzenegger","sequence":"additional","affiliation":[{"name":"the Departments of Neurology and Radiology (E.T.), University Hospital, Inselspital, Bern, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Tuncdogan","sequence":"additional","affiliation":[{"name":"the Departments of Neurology and Radiology (E.T.), University Hospital, Inselspital, Bern, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1995.00540290081021"},{"key":"e_1_3_2_2_2","first-page":"661","volume":"19","year":"1990","unstructured":"d'Anglejean Chatillon J, Ribeiro V, Mas JL, Bousser MG, Laplane D. Dissection de l'art\u00e8re carotide interne extracranienne: soixante-deux observations. Presse Med. 1990;19:661-667.","journal-title":"Presse Med"},{"key":"e_1_3_2_3_2","unstructured":"Saver JL Easton JD Hart RG. Dissection and trauma of cervico-cerebral arteries. In: Barnett HJM Mohr JP Stein BM Yatsu FM eds. Dissections and Trauma of Cervicocerebral Arteries. New York NY: Churchill Livingstone Inc; 1992:671-678."},{"key":"e_1_3_2_4_2","first-page":"152","volume":"1","year":"1983","unstructured":"Hart RG, Easton JD. Dissection of cervical and cerebral arteries. Neurol Clin. 1983;1:152-182.","journal-title":"Neurol Clin"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199402103300604"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000107817"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.45.4.691"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1159\/000108475"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1987.00520140009010"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.21.4.2326844"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.26.3.480"},{"key":"e_1_3_2_12_2","first-page":"186","volume":"27","year":"1996","unstructured":"Brandt T, Hausser I, Orberk E, M\u00fcller-K\u00fcppers M, Anton-Lamprecht A, Hacke W. Ultrastructural connective tissue abnormalities in patients with spontaneous cervico-cerebral artery dissections. Stroke. 1996;27:186. Abstract.","journal-title":"Stroke"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/01.STR.27.10.1804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T22:08:03Z","timestamp":1715551683000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.STR.27.10.1804"}},"subtitle":["A Prospective Study of 81 Patients"],"short-title":[],"issued":{"date-parts":[[1996,10]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[1996,10]]}},"alternative-id":["10.1161\/01.STR.27.10.1804"],"URL":"https:\/\/doi.org\/10.1161\/01.str.27.10.1804","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,10]]},"assertion":[{"value":"1996-02-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1996-06-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"1996-10-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}