ArticleCephalalgia : an international journal of headache2022
Head/neck pain characteristics after spontaneous cervical artery dissection in the acute phase and on a long-run.
Article in Cephalalgia : an international journal of headache, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Safety of Physical Activity After Cervical Artery Dissection.European journal of neurology · 2026Observational
- Neck pain patient with a final diagnosis of bilateral vertebral artery tears: A case report.Journal of chiropractic medicine · 2026Article
- Peripheral Facial Nerve Palsy due to Spontaneous Internal Carotid Artery Dissection.Case reports in neurological medicine · 2026Article
- Impact of spontaneous recanalization of occlusive cervical artery dissection on risk of stroke.Journal of neurology · 2025Article
- Spontaneous Spinal Epidural Hematoma Presenting as an Acute Stroke Mimic: A Diagnostic Challenge.Cureus · 2025Article
- Headaches attributed to cranial and cervical artery dissections.The journal of headache and pain · 2025Review
- A narrative review on cervical artery dissection-related cranial nerve palsies.Frontiers in neurology · 2024Review
- Clinical characteristics and outcome in expansive compared with steno-occlusive mural hematoma in spontaneous cervical artery dissection.International journal of stroke : official journal of the International Stroke Society · 2023Article
- Decline in spontaneous cervical artery dissection incidence during COVID-19 public health measures: Evidence for a role of upper respiratory infections in pathogenesis.International journal of stroke : official journal of the International Stroke Society · 2023Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveHead/neck pain is one of the primary symptoms associated with spontaneous cervical artery dissection. Still, data on pain quality, intensity, and long-term dynamics are scarce.
methodsSpontaneous cervical artery dissection subjects were included if mural hematoma was visualised through T1 fat-saturated MRI at baseline. All available medical records were evaluated and patients were invited to standardised clinical follow-up visits at least 1 year after the index event.
resultsIn total, 279 subjects were included in the ReSect-study with head/neck pain being the most frequent symptom of spontaneous cervical artery dissection (220 of 273, 80.6%). Pain was of pulling nature in 107 of 218 (49.1%), and extended to the neck area in 145 of 218 (66.5%). In those with prior headache history, pain was novel in quality in 75.4% (42 of 55). Median patient-reported pain intensity was 5 out of 10 with thunderclap-type headache being uncommon (12 of 218, 5.5%). Prior to hospital admission, head/neck pain rarely responded to self-medication (32 of 218, 14.7%). Characteristics did not differ between subjects with and without cerebral ischemia. Pain resolved completely in all subjects within a median of 13.5 days (IQR 12). Upon follow-up in 42 of 164 (25.6%) novel recurring headache occurred, heterogeneous in quality, localisation and intensity.
conclusionWe present an in-depth analysis of spontaneous cervical artery dissection-related head/neck pain characteristics and its long-term dynamics.
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