[Spontaneous carotid and vertebral arteries dissection in a multiethnic population].

Autor: Pieri A; Departamento de Neurologia, Universidade Federal de São Paulo, Rua Napoleão de Barros 874/14, São Paulo, Brazil., Spitz M, Valiente RA, Avelar WM, Silva GS, Massaro AR
Jazyk: portugalština
Zdroj: Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2007 Dec; Vol. 65 (4A), pp. 1050-5.
DOI: 10.1590/s0004-282x2007000600029
Abstrakt: Spontaneous dissection of the carotid and vertebral arteries (SDCVA) is considered a rare cause of stroke, particularly in countries with multiethnic population. The objective was to evaluate the clinical and neuroimaging features of patients with SDCVA from a multiethnic population. Sixty-six patients diagnosed with SDCVA were studied at two tertiary hospitals at São Paulo. An initial questionnaire was completed and patients were followed prospectively. Among the patients studied, 82% were caucasian, 53% were male and the average age was 41.7 years old. The most frequent cardiovascular risk factors found were systemic hypertension and tobacco use. Other aspects evaluated were history of previous migraine, initial treatment and prognosis. In conclusion, although the population studied was multiethnic, there was a marked predominance of caucasians. The analysis of clinical and neuroimaging data from patients with SDCVA allows a better understanding of the disease, leading to an earlier diagnosis and more appropriate treatment.
Databáze: MEDLINE