Síguenos en Twitter     Síguenos en Facebook     Síguenos en YouTube     Siguenos en Linkedin     Correo Grupsagessa     Gmail     Dropbox     Instagram     Google Drive     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon

SOBRE EL AUTOR **

Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

COVID-19 Inflammatory Response in Children & Adults. June 03, 2020

Search

Content:

martes, 14 de abril de 2020

Cervical Artery Dissection

Logo
emDocs - April 14, 2020 - By Riggins J and Sinert R 
Reviewed by: Koyfman A and Long B
"Pearls/Pitfalls:
  1. CAD is a disease process with multiple risk factors. Make sure to keep this diagnosis on your differential for any patient with severe neck pain, new-onset headache and/or neurological abnormalities on exam. Pain may be the only presenting symptom for a cervical artery dissection.
  2. Although conventional angiography is the gold standard, both CTA and MRA can be used for the diagnosis of CAD. Consider using CTA over MRA if concern for vertebral artery dissection.
  3. If your patient has concerning findings for CAD with negative CTA and/or MRA results, DO NOT stop your work-up. Proceed to conventional angiography (gold standard).
  4. There is no difference in efficacy between anti-platelet and anticoagulation therapy in patients with symptomatic CAD (CADISS trial).
  5. Accepted treatment duration is 3-6 months although the optimal duration is unclear. Repeat vascular imaging is required"