Sex differences in the epidemiology of spontaneous and traumatic cervical artery dissections

IF 4.4 1区 医学 Q1 CLINICAL NEUROLOGY Stroke and Vascular Neurology Pub Date : 2024-09-11 DOI:10.1136/svn-2024-003282
Elke Schipani, Kim J Griffin, Carlee I Oakley, Zafer Keser
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Abstract

Background Recent studies show cervical artery dissection (CeAD) is equally common between sexes, and that the incidence of CeAD has risen at a greater rate in females than males. In this population-based study, we identify sex differences in patients diagnosed with spontaneous and traumatic CeAD. Methods 144 patients with spontaneous or traumatic CeAD were studied for sex differences in medical comorbidities, presenting symptoms and outcomes. Results Females were more likely to carry a diagnosis of migraine, while males were more likely to have hyperlipidaemia. Females were more likely to present with neck pain, males with stroke. Females were significantly more likely to develop recurrent dissections in the study period. Conclusions These findings underscore the importance of understanding CeAD through the lens of sex differences and may explain the significant rise in the diagnosis of CeAD in females. These findings support the importance of considering sex-specific risk factors and medical comorbidities with sex predilection in the diagnosis and management of CeAD. Furthermore, it emphasises the importance of female patients understanding risk factors and presenting signs that should prompt evaluation for CeAD.
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自发性和外伤性颈动脉离断流行病学中的性别差异
背景 最近的研究表明,颈动脉夹层(CeAD)在两性之间同样常见,而且女性的发病率比男性上升得更快。在这项基于人群的研究中,我们确定了自发性和外伤性 CeAD 患者的性别差异。方法 我们对 144 名自发性或外伤性 CeAD 患者进行了研究,以了解他们在并发症、症状和预后方面的性别差异。结果 女性更有可能被诊断为偏头痛,而男性则更有可能患有高脂血症。女性更容易出现颈部疼痛,男性则更容易中风。在研究期间,女性更有可能出现复发性血管断裂。结论 这些发现强调了从性别差异的角度来理解 CeAD 的重要性,这也可能解释了女性 CeAD 诊断率大幅上升的原因。这些发现支持了在诊断和管理 CeAD 时考虑性别特异性风险因素和具有性别偏好的并发症的重要性。此外,研究还强调了女性患者了解风险因素和症状的重要性,这些因素和症状应促使对 CeAD 进行评估。
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来源期刊
Stroke and Vascular Neurology
Stroke and Vascular Neurology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
11.20
自引率
1.70%
发文量
63
审稿时长
15 weeks
期刊介绍: Stroke and Vascular Neurology (SVN) is the official journal of the Chinese Stroke Association. Supported by a team of renowned Editors, and fully Open Access, the journal encourages debate on controversial techniques, issues on health policy and social medicine.
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