Spontaneous Cervical Artery Dissection: The Borgess Classification
ABSTRACTBackground and Purpose: The pathogenesis of spontaneous cervical artery dissections (sCAD) and its best medical treatment are debated. This may be due to a lack of clear classification of sCAD. We propose the new Borgess classification of sCAD, based on the presence or absence of intimal te...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2013-09-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fneur.2013.00133/full |
| _version_ | 1819211813605081088 |
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| author | Firas eAl-Ali Brandon C Perry |
| author_facet | Firas eAl-Ali Brandon C Perry |
| author_sort | Firas eAl-Ali |
| collection | DOAJ |
| description | ABSTRACTBackground and Purpose: The pathogenesis of spontaneous cervical artery dissections (sCAD) and its best medical treatment are debated. This may be due to a lack of clear classification of sCAD. We propose the new Borgess classification of sCAD, based on the presence or absence of intimal tear as depicted on imaging studies and effect on blood flow. Materials and Methods: This is a single-center investigator-initiated registry on consecutive patients treated for sCAD. In the Borgess classification, type I dissections have intact intima and type II dissections have an intimal tear. Results: Forty-four patients and 52 dissected arteries were found. Forty-nine of 52 dissections (93%) were treated with dual anti-platelet therapy. Twenty-one of 52 dissections were type I; 31 were type II. Type I dissections were more likely to present with ischemic symptoms (stroke, TIA) (p=0.001). More type I dissections occurred in the vertebral artery, while more type II dissections occurred in the internal carotid artery (p |
| first_indexed | 2024-12-23T06:33:02Z |
| format | Article |
| id | doaj.art-422a814e857a4be8a96193d5a4d8a2af |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-23T06:33:02Z |
| publishDate | 2013-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-422a814e857a4be8a96193d5a4d8a2af2022-12-21T17:56:52ZengFrontiers Media S.A.Frontiers in Neurology1664-22952013-09-01410.3389/fneur.2013.0013337887Spontaneous Cervical Artery Dissection: The Borgess ClassificationFiras eAl-Ali0Brandon C Perry1Borgess Medical CenterMichigan State UniversityABSTRACTBackground and Purpose: The pathogenesis of spontaneous cervical artery dissections (sCAD) and its best medical treatment are debated. This may be due to a lack of clear classification of sCAD. We propose the new Borgess classification of sCAD, based on the presence or absence of intimal tear as depicted on imaging studies and effect on blood flow. Materials and Methods: This is a single-center investigator-initiated registry on consecutive patients treated for sCAD. In the Borgess classification, type I dissections have intact intima and type II dissections have an intimal tear. Results: Forty-four patients and 52 dissected arteries were found. Forty-nine of 52 dissections (93%) were treated with dual anti-platelet therapy. Twenty-one of 52 dissections were type I; 31 were type II. Type I dissections were more likely to present with ischemic symptoms (stroke, TIA) (p=0.001). More type I dissections occurred in the vertebral artery, while more type II dissections occurred in the internal carotid artery (phttp://journal.frontiersin.org/Journal/10.3389/fneur.2013.00133/fullCerebral ArteriesDissectionStrokeVertebral Arterypathophysiology |
| spellingShingle | Firas eAl-Ali Brandon C Perry Spontaneous Cervical Artery Dissection: The Borgess Classification Frontiers in Neurology Cerebral Arteries Dissection Stroke Vertebral Artery pathophysiology |
| title | Spontaneous Cervical Artery Dissection: The Borgess Classification |
| title_full | Spontaneous Cervical Artery Dissection: The Borgess Classification |
| title_fullStr | Spontaneous Cervical Artery Dissection: The Borgess Classification |
| title_full_unstemmed | Spontaneous Cervical Artery Dissection: The Borgess Classification |
| title_short | Spontaneous Cervical Artery Dissection: The Borgess Classification |
| title_sort | spontaneous cervical artery dissection the borgess classification |
| topic | Cerebral Arteries Dissection Stroke Vertebral Artery pathophysiology |
| url | http://journal.frontiersin.org/Journal/10.3389/fneur.2013.00133/full |
| work_keys_str_mv | AT firasealali spontaneouscervicalarterydissectiontheborgessclassification AT brandoncperry spontaneouscervicalarterydissectiontheborgessclassification |