[ @entity4048 and @entity10 as the only manifestation of XXXX ].

@entity1 @entity15975 @entity4048 @entity1410 @entity158 @entity432 @entity10 @entity4066
OBJECTIVE: To analyze clinical and neuroimaging data in @entity1 with @entity4048 and @entity10 as the only manifestation of the internal carotid artery (ICA) dissection ( @entity15975 ) and vertebral artery (VA) dissection (VAD). MATERIAL AND METHODS: One hundred and sixty-one @entity1 (mean age - 37,4  4,99 years, 84 @entity1 , 52%) with @entity4066 ( @entity4066 ) verified by magnetic resonance imaging (MRI) were enrolled. @entity4048 and @entity10 were the only @entity4066 manifestation in 33 @entity1 (mean age 37,3  7,4 yars, 28 @entity1 , 85%). RESULTS: The localization of the dissections in these @entity1 was the following: one VA (15 @entity1 ), two VA (9), one ICA (7), two ICA (1), one ICA + two VA (1). The whole number of dissected arteries was 45: extracranial localization - 38, extra- intracranial - 6, intracranial - 1. Dissection led to stenosis of the arterial lumen in 41 arteries, to @entity432 - in 2 and to dual lumen in 2 arteries. Small aneurism was found in 4 arteries. Combination of @entity4048 was observed in 26 out of 33 @entity1 (79%), the only @entity10 in 4 @entity1 , the only @entity4048 in 3 @entity1 . Along with this, 9 out of 24 VAD @entity1 had the shoulder and/or arm @entity158 . @entity10 in VAD @entity1 was located more often in the occipital region (18 out of 24) that had never been observed in @entity15975 @entity1 (p=0.0009). Fronto-temporal @entity158 was observed more often in @entity15975 @entity1 (5 out of 8 @entity1 ) than in VAD (2 out of 24 @entity1 ) (p=0.003). @entity4048 in all VAD @entity1 in comparison with 3 out of 8 @entity15975 @entity1 had posterior localization (  =0,007). @entity4048 was observed in 4 out of 8 @entity15975 @entity1 and in no @entity1 with VAD (  =0.0009). The @entity158 appearance was abrupt in all @entity15975 @entity1 and most of the VAD @entity1 . In 8 VAD @entity1 the @entity158 has been increasing during several hours. The @entity158 intensity was severe in 19 @entity1 , moderate in 12 and mild in 2. The characteristics of the @entity158 were as following: constrictive/dull (26 @entity1 ), throbbing (1 @entity1 ) or combined (6 @entity1 ). @entity158 was increasing in a stepwise manner during the first days in 14 out of 24 VAD @entity1 and in no one of @entity15975 @entity1 (  =0.008). The @entity158 duration period was 31,8   15,7 days. @entity158 relief drugs were ineffective or had a short effect in 97% of @entity1 . CONCLUSION: @entity158 is more characteristic for @entity1 with VAD. @entity158 is presented as a combination of @entity10 and @entity4048 . @entity158 localization, mode of appearance and the course are different in VAD and @entity15975 . The rarity of @entity432 among @entity1 with " @entity158 -only" manifestation let to suggest that the intramural @entity1410 in this group of @entity1 spreads to the adventitia that can reflect media weakness. Arterial wall changes underlying its weakness seem to be sex-hormone dependent taking into consideration the high predominance of @entity1 in @entity4066 manifested by @entity158 .
