{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:14:11Z","timestamp":1790421251069,"version":"4.1.0"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Cervical artery dissection (CeAD) may result in dissecting aneurysm (DA) formation. We aimed to characterize risk factors and clinical outcomes associated with DA in a large, international CeAD cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We performed a secondary analysis of STOP-CAD (Antithrombotic Treatment for Stroke Prevention in Cervical Artery Dissection), an international, multicenter, retrospective cohort. Patients with spontaneous CeAD were assessed for DA at baseline and de novo DA formation. Significant covariates in univariable analysis were included in multivariable regression models aiming to identify factors associated with DA formation. Logistic regression and Cox proportional hazards models evaluated the association of DA with ischemic and hemorrhagic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Among 4008 patients with CeAD, 546 (13.6%) had a DA at baseline, and 221\/2938 (7.5%) patients developed a de novo DA during follow-up, of which 172\/221 (78.2%) were detected in the first 180 days. Patients with DA had a mean age of 47 years, and 383 (49.9%) were women. Baseline or de novo DA was associated with a history of connective tissue disorder (adjusted odds ratio [aOR], 2.02 [95% CI, 1.22\u20133.36]), fibromuscular dysplasia (aOR, 1.69 [95% CI, 1.28\u20132.25]), and multiple vessel dissection (aOR, 1.53 [95% CI, 1.19\u20131.98]). Lower odds of DA were seen in Hispanic ethnicity (aOR, 0.64 [95% CI, 0.43\u20130.97]) and ischemic stroke presentation (aOR, 0.41 [95% CI, 0.34\u20130.49]). Fibromuscular dysplasia was associated with de novo DA formation (aOR, 2.30 [95% CI, 1.52\u20133.49]). DA was not associated with ischemic stroke (hazard ratio, 0.71 [95% CI, 0.44\u20131.16];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.173) or intracranial hemorrhage (HR, 1.09 [95% CI, 0.42\u20132.84];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.86) by day 180.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>DAs are relatively common manifestations of CeAD, typically occurring within 6 months of CeAD diagnosis. DA was not associated with an increased risk of subsequent ischemic stroke or intracranial hemorrhage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/strokeaha.125.054847","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T10:01:21Z","timestamp":1769680881000},"page":"865-875","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Dissecting Aneurysm in Cervical Artery Dissection: Insights From the STOP-CAD Study"],"prefix":"10.1161","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6329-8703","authenticated-orcid":true,"given":"Muhib","family":"Khan","sequence":"first","affiliation":[{"name":"Mayo Clinic, Rochester, MN (M.K., Z.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6415-0874","authenticated-orcid":true,"given":"Zafer","family":"Keser","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN (M.K., Z.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9784-8475","authenticated-orcid":true,"given":"Liqi","family":"Shu","sequence":"additional","affiliation":[{"name":"Department of Neurology, Brown University, Providence, RI (L.S., E. Lee, M.H., C.S., S.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2954-7092","authenticated-orcid":true,"given":"Elizabeth","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology, Brown University, Providence, RI (L.S., E. Lee, M.H., C.S., S.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Neurology, Brown University, Providence, RI (L.S., E. Lee, M.H., C.S., S.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7468-137X","authenticated-orcid":true,"given":"Piers","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Neurology, Boston University, Chobanian and Avedisian School of Medicine, MA (P.K., M. Abdalkader, T.N.N.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dania","family":"Mallick","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Pennsylvania, Phildelphia (D. Mallick, A.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2004-1910","authenticated-orcid":true,"given":"Kim","family":"Griffin","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Wisconsin, Madison (K.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9484-4698","authenticated-orcid":true,"given":"Daniel","family":"Mandel","sequence":"additional","affiliation":[{"name":"Department of Neurology, West Virginia University, Morgantown (D. Mandel)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4794-0334","authenticated-orcid":true,"given":"Ronen R.","family":"Leker","sequence":"additional","affiliation":[{"name":"Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel (R.R.L., I.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9902-7528","authenticated-orcid":true,"given":"Issa","family":"Metanis","sequence":"additional","affiliation":[{"name":"Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel (R.R.L., I.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5825-1799","authenticated-orcid":true,"given":"Balaji","family":"Krishnaiah","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Tennessee Health Science Center, Memphis (B.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3184-5327","authenticated-orcid":true,"given":"Setareh","family":"Omran","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Colorado, Boulder (S.O., R.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza Bavarsad","family":"Shahripour","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of California San Diego (R.B.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7534-7218","authenticated-orcid":true,"given":"Ekaterina","family":"Bakradze","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Alabama at Birmingham (E.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3883-5623","authenticated-orcid":true,"given":"Nils","family":"Henninger","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Massachusetts Chan Medical School, Worcester (N.H.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3855-6234","authenticated-orcid":true,"given":"Stefan T.","family":"Engelter","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Basel, Switzerland (S.T.E.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3594-2159","authenticated-orcid":true,"given":"Mirjam R.","family":"Heldner","sequence":"additional","affiliation":[{"name":"Department of Neurology, Inselspital, University Hospital and University of Bern, Switzerland (M.R.H., K.A.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1936-5451","authenticated-orcid":true,"given":"Kateryna","family":"Antonenko","sequence":"additional","affiliation":[{"name":"Department of Neurology, Inselspital, University Hospital and University of Bern, Switzerland (M.R.H., K.A.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0287-3967","authenticated-orcid":true,"given":"James E.","family":"Siegler","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Chicago, IL (J.E.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2277-5950","authenticated-orcid":true,"given":"Jo\u00e3o Pedro","family":"Marto","sequence":"additional","affiliation":[{"name":"Department of Neurology, Hospital de Egas Moniz, Lisbon, Portugal (J.P.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8480-8220","authenticated-orcid":true,"given":"Aaron","family":"Rothstein","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Pennsylvania, Phildelphia (D. Mallick, A.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8308-6596","authenticated-orcid":true,"given":"Ossama","family":"Khazaal","sequence":"additional","affiliation":[{"name":"Department of Neurology, Temple University, Phildelphia, PA (O.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5577-1775","authenticated-orcid":true,"given":"Christian H.","family":"Nolte","sequence":"additional","affiliation":[{"name":"Department of Neurology, Charite Universit\u00e4tsmedizin, Berlin, Germany (C.H.N.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7911-9724","authenticated-orcid":true,"given":"Ross","family":"Crandall","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Colorado, Boulder (S.O., R.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Lester","sequence":"additional","affiliation":[{"name":"Cornell University, NY (E. Lester)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7700-6799","authenticated-orcid":true,"given":"Ahmad","family":"Nehme","sequence":"additional","affiliation":[{"name":"Department of Neurology, CHU Caen-Normandie, France (A.N.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3914-8419","authenticated-orcid":true,"given":"Brian","family":"Mac Grory","sequence":"additional","affiliation":[{"name":"Department of Neurology, Duke University, Durham, NC (B.M.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2350-284X","authenticated-orcid":true,"given":"Malik","family":"Ghannam","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Iowa, Iowa City (M.G., M. Almajali, E.A.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5051-6687","authenticated-orcid":true,"given":"Mohammad","family":"Almajali","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Iowa, Iowa City (M.G., M. Almajali, E.A.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2697-0980","authenticated-orcid":true,"given":"Marwa","family":"Elnazeir","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Louisville, KY (M.E.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8909-9761","authenticated-orcid":true,"given":"Sami","family":"Al Kasab","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical University of South Carolina, Charleston (S.A.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9377-8353","authenticated-orcid":true,"given":"Daniyal","family":"Asad","sequence":"additional","affiliation":[{"name":"Department of Neurology, Hartford Hospital, CT (D.A.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8199-6668","authenticated-orcid":true,"given":"Anvesh","family":"Balabhadra","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Texas Houston (A.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6913-5526","authenticated-orcid":true,"given":"Ana Catarina","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Lisbon, Portugal (A.C.F., D.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5012-5026","authenticated-orcid":true,"given":"Diana","family":"Cruz","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Lisbon, Portugal (A.C.F., D.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8009-8543","authenticated-orcid":true,"given":"Michele","family":"Romoli","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health, Bufalini Hospital, Cesena, Italy (M.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2626-6259","authenticated-orcid":true,"given":"Faddi","family":"Saleh Velez","sequence":"additional","affiliation":[{"name":"Brain Stimulation and Neurorehabilitation Lab, Department of Neurology, University of Oklahoma, Oklahoma City (F.S.V.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7529-4267","authenticated-orcid":true,"given":"Alexis N.","family":"Simpkins","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Cedars Sinai Medical Center, Los Angeles, CA (A.N.S., S.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayak","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Cedars Sinai Medical Center, Los Angeles, CA (A.N.S., S.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7530-818X","authenticated-orcid":true,"given":"Marialuisa","family":"Zedde","sequence":"additional","affiliation":[{"name":"Neurology Unit, Stroke Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy (M.Z.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2764-2268","authenticated-orcid":true,"given":"Edgar A.","family":"Samaniego","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Iowa, Iowa City (M.G., M. Almajali, E.A.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9809-7888","authenticated-orcid":true,"given":"Adeel","family":"Zubair","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yale University, New Haven, CT (A.Z.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4125-4077","authenticated-orcid":true,"given":"Christoph","family":"Stretz","sequence":"additional","affiliation":[{"name":"Department of Neurology, Brown University, Providence, RI (L.S., E. Lee, M.H., C.S., S.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6639-364X","authenticated-orcid":true,"given":"Wayneho","family":"Kam","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of North Carolina, Chapel Hill (W.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9528-301X","authenticated-orcid":true,"given":"Mohamad","family":"Abdalkader","sequence":"additional","affiliation":[{"name":"Department of Neurology, Boston University, Chobanian and Avedisian School of Medicine, MA (P.K., M. Abdalkader, T.N.N.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0031-1004","authenticated-orcid":true,"given":"Shadi","family":"Yaghi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Brown University, Providence, RI (L.S., E. Lee, M.H., C.S., S.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2810-1685","authenticated-orcid":true,"given":"Thanh N.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Boston University, Chobanian and Avedisian School of Medicine, MA (P.K., M. Abdalkader, T.N.N.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000457"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70084-5"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000003617"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.32.2.418"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2024.1141"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S362844"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2022.08.010"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.123.045731"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.53.1.117"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.4.1741137"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2024.107806"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2022.02.007"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2023.03.020"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.11.011"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-016-0544-1"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)00009-5"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.123.043647"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000213548"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.26717"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1241084"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.3171\/2015.10.JNS151846"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.05.024"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441206"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2024.02.015"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.04.073"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012565"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.06.133"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/STROKEAHA.125.054847","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T18:01:16Z","timestamp":1787248876000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/STROKEAHA.125.054847"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1161\/STROKEAHA.125.054847"],"URL":"https:\/\/doi.org\/10.1161\/strokeaha.125.054847","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-14","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}