Risk factors and clinical features of craniocervical XXXX .

@entity1 @entity64 @entity18208 @entity130 @entity4066
Craniocervical @entity4066 is one of the most common causes of @entity64 in young @entity1 and is occasionally associated with neck manipulation. Identification of individuals at risk will guide risk management. Early recognition of dissection in progress will expedite medical intervention. Study aims were to identify risk factors and presenting features of craniocervical @entity4066 . Medical records of @entity1 from the Hunter region of New South Wales, Australia aged  <= 55 years with radiographically confirmed or suspected @entity18208 , were retrospectively compared with matched controls with @entity64 from some other cause. Records were inspected for details of clinical features, presenting signs and symptoms and preceding events. Records of 47 dissection @entity1 (27 males, mean age 37.6 years) and 43 controls (22 males, mean age 42.6 years) were inspected. Thirty (64%) dissection @entity1 but only three (7%) controls reported an episode of mild mechanical @entity130 , including manual therapy, to the cervical spine within the preceding three weeks. Mild mechanical @entity130 to the head and neck was significantly associated with craniocervical @entity4066 (OR 23.53). Cardiovascular risk factors for @entity64 were less evident in the dissection group (<1 factor per case) compared to the controls (>3).
