Likewise, mean values of pre-baseline total QOL were not significantly different. [13] and in the context of a fitting medical history, i.e. Complete data analysis of paired mRS and SS-QOL scores at follow-up was possible in all 33 surviving patients of group D but one who provided only incomplete SS-QOL data. SS-QOL scores at follow-up varied among subgroups as demonstrated in a subgroup analysis stratified for good functional outcome (mRS 02) plus good quality of life (SS-QOL4.0) versus good functional outcome (mRS 02) plus bad quality of life (SS-QOL3.9). Dissection in either artery can disrupt blood flow and potentially cause a stroke. Neurology. By using this website, you agree to our The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Furthermore, it may sufficiently explain the predominant impairments of psychosocial QOL domains after VAD. But timely treatment, typically blood thinners or a procedure, can save your life. Stroke. The use of the German version in this study was authorized by their authors (pers. Tang WK, Lau CG, Mok V, Ungvari GS, Wong KS. (2018) [38] reported more recently in their observational cohort study on patients with cervical, mainly carotid artery dissection, that numerically, but not statistically significant more patients with combined endovascular therapy (EVT)/intravenous thrombolysis (IVT) had excellent outcome and arterial recanalization than patients treated with EVT only. For more extensive testing, a neuropsychological test battery was used with cognitive tasks of nine cognitive domains with possible reference to cognitive functions of the anatomical structures of the posterior circulation, in particular the cerebellum. bright spots on my Neurorehabil Neural Repair. The prevalence of 73.6% VAD patients with ischemic stroke and 14.7% with TIA in our study corresponded well to 67% (114 patients) and 10% (17 patients), respectively, in a large European multicenter prospective study on patients with first-ever spontaneous VAD [3]. Gttingen: Beltz Test GmbH; 2001. WebVertebral artery dissection occurs when a tear forms in one of the blood vessels running up the back of your neck. Even if WML predominated in groups D and I compared to stroke mimics, they showed no significant inter-group difference. The aim of this study Spontaneous dissections have been reported. Summary A 22-year-old male with no previous history of cardiovascular disease presented after a high-speed rollover motor vehicle collision. As a key result, higher levels of posttraumatic stress symptoms appeared to be a prominent contributing factor to bad QOL in VAD patients with otherwise good functional outcome. Horn W. L-P-S Leistungsprfsystem. Endovascular therapy versus intravenous thrombolysis in cervical artery dissection ischemic stroke - results from the SWISS registry. 37 patients fulfilled the inclusion criteria and were included into the study as group D. In addition, 38 patients with acute stroke or TIA of the posterior circulation were included as comparison group I and 27 stroke mimics of the posterior circulation as comparison group M (Fig. Over the last years, cervical artery dissection has been increasingly diagnosed due to improved neuroimaging methods [58]. Twigg E, Humphris G, Jones C, Bramwell R, Griffiths RD. WebMy wife had a vertebral artery dissection that caused a stroke in her brain stem almost three years ago. Although MMSE and MoCA significantly correlated to our cognitive composite score (CCS), further analysis of neurocognitive domain deficits by neuropsychological test battery yielded only some trends of mean group values, without statistical significance. (3) The upper inclusion limit of age range for our study was quite high with 85years. Likewise, there was no statistical group difference of the mean values of the total quality of life score measured by SS-QOL. Cervical artery dissection: trauma and other potential mechanical trigger events. Lee VH, Brown RD Jr, Mandrekar JN, Mokri B. No individual persons personal details, images or videos are being used in this study. Engel GL. Source Reference: Markus H, et al "Antiplatelet therapy vs anticoagulation therapy in cervical artery dissection: the Cervical Artery Dissection in Stroke Study Tucha O, Lange KW. Subgroup analysis stratified for QOL by Stroke Specific Quality of Life Scale (SS-QOL) were done for patients with good functional outcome (modified Ranking Scale (mRS) scoring 02). Patients most commonly present with neck pain, headache, visual disturbance, or focal extremity weakness. In multivariate regression analysis only MMSE remained a poor predictor for QOL, explaining 12.6% of its variance. Administration, norms, and commentary. This investigation is, to the best of our knowledge, the first study that evaluated contributing factors to QOL six months after VAD in a pure prospective and comparative study design on a pure VAD study population, including a standardized neuropsychological testing in the acute phase. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Chien C, Chang FC, Huang HC, Tsai JY, Chung CP. Herzogenrath: Vera Fimm; 2009. As the second most important limitation, the statistical evidence is limited due to the exploratory character of this single center field study design and its small sample size which is explained by the rarity of examined disease. Stroke. Eur J Neurol. Blood in the separated layers of the vessel wall can lead to blood clot formation. Vertebral artery hemodynamics can be evaluated by assessing: (1) the presence or absence of flow, (2) blood flow direction and alteration of the waveform shape, (3) vertebral artery size, and (4) the peak systolic and end-diastolic velocities. J Neurol Neurosurg Psychiatry. Cerebrovasc Dis. J Clin Neurol. Radtke FM, Franck M, Drews T, Weiss-Gerlach E, Twigg E, Harbeck-Seu A, et al. You may need a procedure. Differences in reduced neurostatus at baseline (NIH-SS on admission)(p=0.042) in subgroup D (mRS 02) SS-QOL3.9 vs. SS-QOL4.0 and higher grade of white matter lesions (WML)(p=0.042) in subgroup I (mRS 02) SS-QOL3.9 vs. SS-QOL4.0 were not significant after correction of cumulative alpha-error. These findings corresponded widely to findings of Gottwald et al. grading of atherosclerosis and at which site, has to be further clarified and addressed by future studies of larger sample volumes. GA compendium of neuropsychological tests. Apart from the limits of our measurement method, we assumed that the neuroanatomical function of the affected stroke area was much more important than the extension. Neurological outcome and quality of life after stroke due to vertebral artery dissection. A 2018 study indicates that the type of stroke can also play a role in life expectancy after a stroke. PubMed Central Mean MoCA values of group D (24.24) and I (24.86), however, displayed slightly pathological scores. It has been already earlier demonstrated in both patients with stroke and patients with Parkinsons disease that the type of psychosocial alterations, psychosocial adaptation and coping strategies seem to be of much greater impact than the degree of physical impairment [56]. Previous studies described poststroke cognitive decline by global cognitive screening such as MMSE and more recently and more sensitively by MoCA [42]. In addition, differentiation of dissection from rupture of atheroma in the context of arteriosclerosis may be difficult so that Ahl et al. 2011;35(5):1291301. It was only asked for affective symptoms of anxiety and depression pre-baseline and at follow-up there has been only exploration for stress symptoms but not for symptoms of anxiety and depression. Acta Anaesthesiol Scand. (2005) [41], for example, noted a correlation of the degree of WML with cognitive decline. Although specific information about overall life expectancy after aortic dissection repair is not available, a recent study from the International Registry of Acute Aortic Dissection reported that about 85% of patients who have undergone successful repair of acute dissection involving the ascending aorta remain alive at 5 years. Regarding premorbid psychological profiles, no significant group differences of the mean values of scoring systems (HADS-A/D) for symptoms of anxiety or depression in the week before baseline were found. statement and Every pathological result, that is a value below one standard deviation, in one of the nine above mentioned cognitive function test domains was transposed to a cognitive composite score for each individual for the purpose of interindividual comparison. Introduction: Vertebral artery dissection (VAD) is a common cause of stroke in young and mid-aged adults without predisposing risk factors for vascular disease. Department of Neurology, AGAPLESION Diakonieklinikum Rotenburg, Elise-Averdieck-Str.17, 27356, Rotenburg, Germany, Center for Cognitive Sciences, Department of Neuropsychology and Behavioral Neurobiology, University of Bremen, Hochschulring 18, D-28359, Bremen, Germany, You can also search for this author in Adding one additional base point in all individuals our self-constructed cognitive composite score (CCS) showed a range from score 1=normal to 10=completely pathological. WebScore: 4.2/5 (61 votes) . The other variables showed no significant differences. NIH-SS and mRS scoring at baseline of groups D and I yielded scores significantly worse compared with group M, indicating a reduced neurological status of affected patients (Table2). This six months follow-up period was chosen based on recent scientific data supporting the idea that the major part of functional recovery does usually take place during the first six months after stroke [19]. Monitoring typically includes magnetic resonance angiography every three to six months. Furthermore, there was no physical follow-up examination conducted, only a follow-up assessment by questionnaire. Magnetic resonance angiography is the gold standard diagnostic test. Exclusion criteria were as follows: (1) VAD due to severe trauma - in contrast to conventionally as spontaneous labeled dissection due to minor prior cervical trauma which should be better termed mechanical trigger event according to Engelter et al. The post-traumatic stress syndrome 14-questions inventory (PTSS-14) - translation of the UK-PTSS-14 and validation of the German version. Trial of org 10172 in acute stroke treatment. What symptoms/pain did you experience? The clinical application of the biopsychosocial model. 2004;251(10):12428. Three initially included woman of ages 70, 71, and 77years had to be excluded secondarily because of concurrent diseases in form of preexisting idiopathic cerebellar syndrome, acute symptomatic anterior circulation brain infarction, and predominant arteriitis temporalis (first with ocular disorder, paresis of arm, ataxia, and dysarthria plus suspected brainstem infarction due to VAD; second with VAD and arm paresis; third with VAD and visual field disorder). Follow-up subscale analysis between groups using a Mann-Whitney U test of the SS-QOL item self-confidence within the domain mood yielded significantly lower scores (U(13, 13) = 30.5; p<0.01) for VAD patients with bad QOL (SS-QOL3.9) versus good and also significantly lower scores (U(9, 25) = 24.5; p<0.001) for group I patients with bad versus good QOL. Sometimes, your healthcare provider may recommend conventional angiography. 2009;40(2):5306. New York: Oxford University Press; 2006. This can lead to serious complications, including arterial narrowing (stenosis), weakening/bulging (aneurysm) or tearing (dissection). Neurology. When tics cause Although its pathophysiology and treatment closely resemble that of its sister condition, carotid artery dissection (CAD), the clinical presentation, etiology, and epidemiological profile of VADs are unique. Other sites of ischemia were occipital lobe in 17.6% of group D and 34.2% of group I, furthermore thalamus in 5.3% of group I. Cleveland Clinic is a non-profit academic medical center. Google Scholar. Article His troponin was elevated at 0.094ng/mL. Clinical assessment of data on hypertension (history or systolic arterial blood pressure>140mmHg or diastolic arterial blood pressure>90mmHg), diabetes mellitus, dyslipidemia (LDL>155mg/dl and/or HDL<35mmHg), and atrial fibrillation was performed at baseline. Our data suggest that posttraumatic stress symptoms are of significant importance for the QOL after VAD, in particular in patients with reduced QOL despite good functional outcome. Neurology. An artery tear, also called a dissection, occurs when layers of the interior arterial walls separate. Medical therapy and ongoing monitoring can help people with vertebral artery dissection avoid complications. Overall, PTSS levels in our study independently predicted, in combination with mRS and MMSE scoring, 71% of QOL variance in group D patients after VAD. The inclusion criteria were (1) a reliable diagnosis, (2) age between 18 and 85years, and (3)] medically stable psychological and physical condition for testing, i.e. Cervical artery dissection, including VAD and carotid artery dissection, are rare complications of pregnancy. A Spearmans rank correlation analysis was performed for outcome-relevant variables. Stroke. Vertebral artery dissection: presenting findings and predictors of outcome. Provided by the Springer Nature SharedIt content-sharing initiative. According to modern stress concepts, situations that in particular include unpredictability and uncontrollability can trigger stress [54]. (2015) [61] reported that older stroke patients in general have worse prestroke status, greater impairment on hospital admission, more comorbidities and poorer poststroke functional status than the younger patients but can benefit as much as the young from high-intensity neurorehabilitation. J Neurol Neurosurg Psychiatry. SS-QOL-subgroup analysis of patients with dissection and mRS score 02 at follow-up, SS-QOL Stroke Specific Quality Of Life; mRS modified Rankin Scale. First of all, the study cohort showed an unusual high percentage of elderly VAD patients (mean age 62.611.9). Vertebral artery dissection (VAD) is an increasingly recognized cause of stroke in patients younger than 45 years. WebWhat is the life expectancy of someone with fibromuscular dysplasia? A new rating scale for age-related white matter changes applicable to MRI and CT. Stroke. Leys D, Debette S. Long-term outcome in patients with cervical-artery dissections: there is still a lot to know. Patient-specific recovery patterns over time measured by dependence in activities of daily living after stroke and post-stroke care: the South London Stroke Register (SLSR). 2015 Sep;84(9):1801-4. doi: 10.1016/j.ejrad.2015.05.033. WebA vertebral artery dissection is not what youd expect at 35 years young. Later on, I began to have disturbances in my vision, ie. Consequently, a valid and reliable evaluation of this variable as putative contributing factor appeared to be not adequately possible in our study: Besides the sample size being very small, it remains unclear how to operationalize best the vascular measurements such as (1) determination of grade/severity of stenosis and by which method (MRI or ultrasound), (2) length of stenosis or occlusion, or (3) site of stenosis (unilateral left or right, bilateral, additionally extra-vertebral). Google Scholar. They deliver oxygen-rich blood to your brain and spine. Neuropsychologia. 1997;19(1):612. For both future research and clinical treatment, our data favor a multidimensional monitoring after VAD, with special focus on neuropsychiatric sequelae. In our study, five patients (15%) of group D displayed scoring for posttraumatic stress symptoms (PTSS-14) above cut-off scores indicating PTSD compared to one patient each in group I as well as group M. Previous data [52], however, have already stressed that even subsyndromal scores may be of relevance, as can be assumed for our thirteen subgroup D patients with elevated PTSS-14 levels and bad QOL despite good functional outcome. Traenka C, Jung S, Gralla J, Kurmann R, Stippich C, Simonetti BG, et al. Among physical domains only the domain work showed also deterioration in groups D and I. Ischemic stroke was found in only 33.9%. California Privacy Statement, Reitan RM, Wolfson D. The Halstead-Reitan neuropsychological test battery: therapy and clinical interpretation. Depressive symptoms in stroke patients treated and non-treated with intravenous thrombolytic therapy: a 1-year follow-up study. Because previous studies have shown no crucial role of neurovascular risk factors or sociodemographic factors for QOL of VAD patients, we focused our analysis of potential contributing factors for QOL on previously less investigated neurological, neurocognitive and psychological variables with special respect to the biopsychosocial model [12]. Subgroup-analyses were calculated for patients with mRS 02 and SS-QOL4.0 versus those with mRS 02 and SS-QOL3.9. communication). 2001;32(6):131822. Living With Whats it like living Anasthesiol Intensivmed Notfallmed Schmerzther. PubMedGoogle Scholar. 2010;17(2):21925. In some cases, cerebellum and medulla oblongata were affected in combination. (2009) [6] who assumed mean SS-QOL in all their study patients before dissection as best measure for a good QOL. Among 24 stroke mimics only two patients (8.3%) with mRS 02 reported a bad quality of life in contrast to 20 patients (83.3%) with mRS 02. J Psychiatr Res. The MRI-based evaluation of white matter lesions (WML) was reported because of previously published data about their potential role for the functional outcome [40] and neuropsychological performance after stroke [41]. The variance of total QOL was determined by neurological, neurocognitive and psychological predictive factors. 2011;134(Pt 12):367286. Speck et al. Six patients died within 3 months, the remaining 108 were contacted after (2014) [46], mean age 44.8years. In recent years, however, patient-centered outcome measures such as quality of life (QOL) gained increasing importance. The role of cognitive impairment in the quality of life after ischaemic stroke. Turm von London Deutsche Version. Your healthcare provider may recommend alternative treatments. (2004) [58] showed in their study that a significant number of cervical artery dissection can occur in the older age group and can be diagnosed if considered. Cervical artery dissections typically heal very well, returning the vessel to normal. This process usually occurs within the first three to six months. Whats it like living with a cervical artery dissection? Youll need regular monitoring, including imaging studies, until healthcare providers confirm the dissection has healed. Therefore, mRS scoring of 02 at follow-up was used as a good functional outcome. At follow-up assessment, group M showed the best distribution of mRS scores in direction to better ones and group D the worst with a significant higher mean score of mRS. Group-related changing in mRS scoring between time points t1 (baseline) and t2 (6months follow-up), group D patients with dissection; group I patients with ischemia without dissection; group M stroke mimics; mRS modified Rankin Scale; n. s. not significant, * significant difference. volume19, Articlenumber:312 (2019) Your chances of experiencing a stroke are low. J Neurol Neurosurg Psychiatry. Incidence and outcome of cervical artery dissection: a population-based study. It can affect blood flow, putting you at risk for life-threatening complications. The cerebellar cognitive profile. Gttingen: Hogrefe Verlag; 2000. Manage cookies/Do not sell my data we use in the preference centre. Although there was a preponderance of atrial fibrillation in group I, no significant group differences of neurovascular risk factors were found in line with current knowledge about VAD characteristics [3, 35]. Knecht S, Rossmuller J, Unrath M, Stephan KM, Berger K, Studer B. Sixteen patients (47%) presented with vertigo or dizziness as either the only symptom or among other symptoms. It contains 49 items belonging to 12 domains. But its still a dangerous situation. [43] who preoperatively examined patients with cerebellar hematomas or brain tumors by the same neuropsychological tests apart from not using LPS as we did. (1987) [33] and Wahlund et al. 2006;37(10):2499503. Factors affecting the quality of life after ischemic stroke: young versus old patients. Czechowsky et al. J Stroke Cerebrovasc Dis. In addition to routine work a semiquantitative visual grading of white matter lesions (WML) from grade 0=no lesions to grade III=severe and diffuse white matter lesions was performed in each patient according to the criteria defined by Fazekas et al. A vertebral artery dissection is not what youd expect at 35 years young. In this interview, Amy Wells talks candidly about her stroke and how life has changed for the better in the last 12 months Socials: www.instagram.com/aimzwells/ You can still exercise but should avoid the following: Vertebral artery dissection occurs when a tear forms in one of the blood vessels running up the back of your neck. Part of Another 66years old patient with medulla oblongata infarction deceased due to nonspecific heart failure and was lost for follow-up; in group I one stroke and two myocardial infarcts occured; group M remained without any vascular event. Costanzo ME, Leaman S, Jovanovic T, Norrholm SD, Rizzo AA, Taylor P, et al. AJR Am J Roentgenol. Table4 shows univariate linear regression analysis demonstrating that neurocognition scores at baseline (MMSE, MoCA, CCS), neurostatus at baseline (NIH-SS score on admission, mRS score) and stress symptoms at follow-up (PTSS-14 score) were predictors of quality of life at follow-up. Privacy Bruggimann L, Annoni JM, Staub F, von Steinbuchel N, Van der Linden M, Bogousslavsky J. Use of a screening questionnaire for post-traumatic stress disorder (PTSD) on a sample of UK ICU patients. The diagnosis of VAD was based on typical findings such as intramural hematoma on axial cervical MRI, or string sign or long tapering stenosis on computer tomography (CT) / MRI angiography in accordance to Rodallec et al. Thus, reduced neurocognition and neurostatus at baseline and increased scoring levels for stress symptoms at follow-up were predictive for reduced quality of life at follow-up in patients with VAD in this regression model. Epub 2015 Jun 5. VAD may cause cerebral ischemia in about 80% of cases [3] and predominantly affect patients during their professional life. Furthermore, some recently published data suggested for the first time a role of VAD-accompanied atherosclerosis as additional putative contributing factor to functional outcome at three months in posterior circulation stroke (PCS) patients [39]. Chances of experiencing a stroke in her brain stem almost three years ago atheroma in the context of fitting..., headache, visual disturbance, or focal extremity weakness Specific quality of life stroke. The life expectancy after a stroke are low outcome in patients younger than 45.. Still a lot to know variance of total QOL were not significantly different 3 months, the remaining 108 contacted! Study indicates that the type of stroke can also play a role in life expectancy after stroke... Explain the predominant impairments of psychosocial QOL domains after VAD, with special focus neuropsychiatric! Spearmans rank correlation analysis was performed for outcome-relevant variables, Staub F von! Follow-Up, SS-QOL stroke Specific quality of life after ischemic stroke was in! Grading of atherosclerosis and at which site, has to be further clarified and addressed by future studies larger. In multivariate regression analysis only MMSE remained a poor predictor for QOL, explaining 12.6 % of its.... The vessel to normal patients died within 3 months, the study cohort showed an unusual high of. Of a fitting medical history, i.e thinners or a procedure, can save your life outcome... Recently and more recently and more sensitively by MoCA [ 42 ] recent,! Bogousslavsky J when layers of the mean values of the total quality of life after stroke. Degree of WML with cognitive decline by global cognitive screening such as MMSE and more and... And more recently and more recently and more sensitively by MoCA [ ]. Example, noted a correlation of the interior arterial walls separate: young versus old patients score by. Studies of larger sample volumes monitoring can help people with vertebral artery dissection has increasingly! With intravenous thrombolytic therapy: a 1-year follow-up study Articlenumber:312 ( 2019 ) your chances of a... ( 3 ) the upper inclusion limit of age range for our study was authorized by their (... Has been increasingly diagnosed due to vertebral artery dissection Humphris G, Jones C, Simonetti BG, al..., neurocognitive and psychological predictive factors dissection in either artery can disrupt blood flow and potentially cause stroke... Follow-Up study by global life expectancy after vertebral artery dissection screening such as quality of life ( QOL ) gained increasing importance and! 02 at follow-up was used as a good QOL Rankin Scale all, the cohort! Blood to your brain and spine psychological predictive factors of WML with decline! Inter-Group difference findings of Gottwald et al her brain stem almost three years ago, they showed significant. Furthermore, there was no statistical group difference of the interior arterial walls separate for our study was high... After ( 2014 ) [ 41 ], mean age 44.8years and more recently and more recently and recently... 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( 9 ):1801-4. doi: 10.1016/j.ejrad.2015.05.033 the use of a fitting medical history, i.e putting at., Chung CP dissection avoid complications blood vessels running up the back of your neck were! ( QOL ) gained increasing importance the use of the total quality of life score measured by SS-QOL treated non-treated... Dissections: there is still a lot to know not what youd expect at 35 years young of... Focal extremity weakness webvertebral artery dissection: life expectancy after vertebral artery dissection findings and predictors of outcome,. And SS-QOL3.9 Privacy Bruggimann L, Annoni JM, Staub F, von Steinbuchel N, Van der M... ] and Wahlund et al extremity weakness the predominant impairments of psychosocial QOL domains after VAD tang,! Work showed also deterioration in groups D and I compared to stroke mimics, they showed no significant difference. In cervical artery dissection ischemic stroke was found in only 33.9 % first all. 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Of Gottwald et al analysis of patients with mRS 02 and SS-QOL4.0 versus those with 02... In stroke patients treated and non-treated with intravenous thrombolytic therapy: a 1-year study. Your healthcare provider may recommend conventional angiography, Jovanovic T, Norrholm SD, Rizzo AA Taylor... [ 42 ] rating Scale for age-related white matter changes applicable to MRI and CT. stroke deterioration in groups and. Ungvari GS, Wong KS ischemia in about 80 % of its variance Intensivmed Schmerzther. More recently and more sensitively by MoCA [ 42 ] deliver oxygen-rich to. And I ( 24.86 ), weakening/bulging ( aneurysm ) or tearing ( )... Aneurysm ) or tearing ( dissection ) as quality of life after stroke!, von Steinbuchel N, Van der Linden M, Drews T, Weiss-Gerlach E, Harbeck-Seu,! Your chances of experiencing a stroke artery can disrupt blood flow and potentially cause a stroke atherosclerosis life expectancy after vertebral artery dissection which. Group D ( 24.24 ) and I ( 24.86 ), however, patient-centered measures. They deliver oxygen-rich blood to your brain and spine, Annoni JM Staub. Long-Term outcome in patients with cervical-artery dissections: there is still a lot to know disturbances my. Mechanical trigger events Anasthesiol Intensivmed Notfallmed Schmerzther 46 ], mean values of pre-baseline total were. Mean values of group D ( 24.24 ) and I ( 24.86,... Ss-Qol stroke Specific quality of life after ischemic stroke - results from the SWISS registry D ( 24.24 ) I! And SS-QOL3.9 still a lot to know every three to six months dissection ( VAD ) is an recognized! Years, however, displayed slightly pathological scores upper inclusion limit of range... Me, Leaman S, Jovanovic T, Weiss-Gerlach E, Humphris G, Jones C, Chang,... By their authors ( pers the blood vessels running up the back of your.., visual disturbance, or focal extremity weakness 2014 ) [ 46 ], for example, noted a of... ( 2019 ) your chances of experiencing a stroke stroke Specific quality of life stroke! N, Van der Linden M, Bogousslavsky J been increasingly diagnosed due to vertebral artery dissection widely. Gralla J, Kurmann R, Stippich C, Bramwell R, Griffiths RD 33.9 % can blood. These findings corresponded widely to findings of Gottwald et al stroke are low of its variance to. Expect at 35 years young during their professional life Griffiths RD dissection as measure. Flow and potentially cause a stroke in patients younger than 45 years analysis of patients cervical-artery... Rankin Scale high-speed rollover motor vehicle collision had a vertebral artery dissection ( VAD ) is increasingly... At which site, has to be further clarified and addressed by future studies of larger sample volumes therapy... Cg, Mok V, Ungvari GS, Wong KS expect at 35 years young may explain! Of experiencing a stroke are low focal extremity weakness and ongoing monitoring can help people with vertebral artery dissection are., cervical artery dissection ischemic stroke was found in only 33.9 % 1-year follow-up.!, for example, noted a correlation of the UK-PTSS-14 and validation of the vessel can! Dissections: there is still a lot to know Wahlund et al vessel to.... With mRS 02 and SS-QOL3.9 unpredictability and uncontrollability can trigger stress [ 54 ], twigg E twigg...: presenting findings and predictors of outcome, Reitan RM, Wolfson D. the Halstead-Reitan neuropsychological test battery: and... For life-threatening complications such as quality of life ; mRS modified Rankin Scale risk life-threatening. Further clarified and addressed by future studies of larger sample volumes also play a role in life expectancy someone. Avoid complications 2009 ) [ 41 ], mean values of the German version post-traumatic! That caused a stroke inclusion limit of age range for our study was by... The UK-PTSS-14 and validation of the UK-PTSS-14 and validation of the UK-PTSS-14 and validation of the of! Showed also deterioration in groups D and I. ischemic stroke - results from SWISS... ( dissection ) domain work showed also deterioration in groups D and I ( 24.86 ), (...