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Neurology 2003;61:572-574
© 2003 American Academy of Neurology
Brief Communications

Early asymptomatic recurrence of cervical artery dissection

Three cases

E. Touzé, MD, C. Oppenheim, PhD, M. Zuber, MD, E. Méary, MD, J.F. Meder, PhD and J.L. Mas, MD

From the Departments of Neurology (Drs. Touzé, Zuber, and Mas) and Neuroradiology (Drs. Oppenheim, Méary, and Meder), Hôpital Sainte-Anne, Paris, France.

Address correspondence and reprint requests to Dr. Emmanuel Touzé, Department of Neurology, Hôpital Sainte-Anne, 1 rue Cabanis, 75674 Paris Cedex 14, France; e-mail: touze{at}chsa.broca.inserm.fr

Cervical artery dissection (CAD) recurrences are rare but the risk could be higher during the first month. Twenty-seven consecutive patients admitted for an acute CAD were investigated using a standardized imaging protocol. An early asymptomatic recurrence was observed in three patients 49 to 53 days after the initial diagnosis. Anticoagulation was maintained and the prognosis remained good. Early CAD recurrences may have been underestimated previously, because asymptomatic recurrences seem to be more frequent than symptomatic ones.




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