Late Sequelae of Whiplash Injury with Dissection of Cervical Arteries

被引:11
|
作者
Hauser, Vital [1 ]
Zangger, Peter [2 ]
Winter, Yaroslav [3 ]
Oertel, Wolfgang [3 ]
Kesselring, Juerg [1 ]
机构
[1] Klin Valens, Dept Neurorehabil, CH-7317 Valens, Switzerland
[2] Doctors Off, Pfaffhausen, Switzerland
[3] Univ Marburg, Dept Neurol, Marburg, Germany
关键词
Cervical arterial dissection; Whiplash injury; Outcome; ISCHEMIC-STROKE; COSTS; CARE;
D O I
10.1159/000319043
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background/Aims: The objective of our study was to estimate the incidence of posttraumatic dissections of cervical arteries in patients with whiplash injury acquired in a car accident. Methods and Patients: We performed a retrospective analysis of medical records of 500 patients with whiplash injury acquired in car accidents between 1996 and 2005 and searched for dissections of cervical arteries occurring within 12 months after injury. Results: Eight cases of cervical arterial dissection occurred within 12 months following whiplash injury. In 7 cases (87.5%), the dissection was complicated by brain infarction. The incidence of posttraumatic dissections after whiplash injuries was much higher than the overall incidence of cervical arterial dissections in the general population (1.6 vs. 0.0041%). The risk of cerebrovascular events was still increased 4-12 months after whiplash injury (0.6 vs. 0.003075% in the general population). Conclusions: There is an increased risk of posttraumatic dissection and cerebrovascular events within 12 months after whiplash injury. Car accident is an important risk factor for arterial dissections. The victims of car accidents should be screened for arterial dissections. The results of this study should be more thoroughly investigated in a prospective trial of car accident victims as a risk factor for arterial dissections. Copyright (C) 2010 S. Karger AG, Basel
引用
收藏
页码:214 / 218
页数:5
相关论文
共 50 条
  • [1] WHIPLASH INJURIES WITH LATE SEQUELAE
    JAER, O
    [J]. ACTA ORTHOPAEDICA SCANDINAVICA, 1983, 54 (06): : 948 - 948
  • [2] Whiplash injury of the cervical spine
    Alektoroff, K.
    Papanagiotou, P.
    [J]. RADIOLOGE, 2021, 61 (08): : 710 - 713
  • [3] Whiplash injury of the cervical spine
    Grifka, J
    Hedtmann, A
    Pape, HG
    Witte, H
    Bär, HF
    [J]. ORTHOPADE, 1998, 27 (12): : 802 - 812
  • [4] Cervical whiplash injury syndrome
    García, FJJ
    [J]. REVISTA CLINICA ESPANOLA, 2004, 204 (06): : 326 - 330
  • [5] Whiplash injury of the cervical spine
    Benoist, M
    [J]. PRESSE MEDICALE, 2000, 29 (04): : 196 - 202
  • [6] The late whiplash injury syndrome
    Claussen, CF
    Claussen, E
    [J]. GIDDINESS & VESTIBULO-SPINAL INVESTIGATIONS; COMBINED AUDIO-VESTIBULAR INVESTIGATIONS; EXPERIMENTAL NEUROOTOLOGY, 1996, 1133 : 393 - 399
  • [7] Acute confusional state following a whiplash injury - A case of multiple cervical artery dissection
    Tayal, Vipin
    Platts, Julia
    Smith, Trevor
    White, Richard
    [J]. JOURNAL OF NEUROLOGY, 2007, 254 (03) : 402 - 403
  • [8] Psychiatric Sequelae Following Whiplash Injury: A Systematic Review
    Al-Khazali, Haidar Muhsen
    Ashina, Hakan
    Iljazi, Afrim
    Al-Sayegh, Zainab
    Lipton, Richard B.
    Ashina, Messoud
    Ashina, Sait
    Schytz, Henrik W.
    [J]. FRONTIERS IN PSYCHIATRY, 2022, 13
  • [9] Dissection of Cervical and Cerebral Arteries
    Stefan T. Engelter
    Christopher Traenka
    Philippe Lyrer
    [J]. Current Neurology and Neuroscience Reports, 2017, 17
  • [10] Dissection of Cervical and Cerebral Arteries
    Engelter, Stefan T.
    Traenka, Christopher
    Lyrer, Philippe
    [J]. CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS, 2017, 17 (08)