Letter by Gallerini et al Regarding Article, “Characteristics and Outcomes of Patients With Multiple Cervical Artery Dissection”

We read with great interest the study of Bejot et al1 evaluating the characteristics and outcomes of patients with single and multiple cervical artery dissection (CeAD). In particular, good outcome (with only 12% of moderate-to-severe handicap at 3 months and none had died) was observed irrespectively of single or multiple vessel involvement. As major ischemic stroke because of artery-to-artery embolism is reasonably the main cause of disability in such patients and its prevention with antithrombothic therapy is considered effective,2 early diagnosis of dissection plays a key role to administer proper therapy, to prevent major stroke, and to reduce long-term disability. Thus an efficient …