We value the interest in our work(Schipani et al)1 expressed by Zhang et al2 in their recent letter to the editor.We welcome the oppor-tunity to respond and offer the following clarifications.Traditionally,spontaneous...We value the interest in our work(Schipani et al)1 expressed by Zhang et al2 in their recent letter to the editor.We welcome the oppor-tunity to respond and offer the following clarifications.Traditionally,spontaneous and trau-matic cervical artery dissections(CeAD)have been classified separately.However,despite conflicting results from observational cohorts,3 there is currently no convincing evidence supporting significant differences in the underlying pathophysiology between the two types.Therefore,we believe this distinc-tion to be arbitrary.展开更多
We recently read with great interest the article‘Sex differences in the epidemiology of spontaneous and traumatic cervical artery dissections’.1 The authors conducted a retrospective analysis of 144 patients with ce...We recently read with great interest the article‘Sex differences in the epidemiology of spontaneous and traumatic cervical artery dissections’.1 The authors conducted a retrospective analysis of 144 patients with cervical artery dissection(CeAD),revealing important sex-related differences that offer valuable insights for clinicians.Despite the quality of the work,we believe the study has several limitations that should be addressed.展开更多
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 identif...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.展开更多
文摘We value the interest in our work(Schipani et al)1 expressed by Zhang et al2 in their recent letter to the editor.We welcome the oppor-tunity to respond and offer the following clarifications.Traditionally,spontaneous and trau-matic cervical artery dissections(CeAD)have been classified separately.However,despite conflicting results from observational cohorts,3 there is currently no convincing evidence supporting significant differences in the underlying pathophysiology between the two types.Therefore,we believe this distinc-tion to be arbitrary.
文摘We recently read with great interest the article‘Sex differences in the epidemiology of spontaneous and traumatic cervical artery dissections’.1 The authors conducted a retrospective analysis of 144 patients with cervical artery dissection(CeAD),revealing important sex-related differences that offer valuable insights for clinicians.Despite the quality of the work,we believe the study has several limitations that should be addressed.
文摘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.
