Why the study?
Does expectant management prevent further neurologic events in patients with spontaneous dissection of the carotid artery?
Does expectant management prevent further neurologic events in patients with spontaneous dissection of the carotid artery?
Expectant management of spontaneous carotid artery dissection is associated with favorable clinical and angiographic outcomes, avoiding the early failures seen with operative repair.
Supports expectant management in spontaneous carotid dissection; leaves open need for controlled trials versus surgery.
Twenty-seven patients with spontaneous dissection have been managed between 1966 and 1982. Most presented with focal neurologic symptoms and 33% had had a completed stroke. Because of early failures of attempted operative repair, expectant management was adopted in 17 patients, none of whom had further neurologic events. The artery had re-expanded to a new normal caliber in 9 of 10 patients evaluated by angiography.
No takes yet. Share an insight, caveat, or question.
Effeney et al. (1983) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: