High pillow and spontaneous vertebral artery dissection: A case-control study implicating "Shogun pillow syndrome".
Eur Stroke J
; 9(2): 501-509, 2024 Jun.
Article
en En
| MEDLINE
| ID: mdl-38284382
ABSTRACT
INTRODUCTION:
The underlying causes of spontaneous vertebral artery dissection (sVAD) remain insufficiently understood. This study aimed to determine whether high-pillow usage is associated with an increased risk of sVAD and evaluate the frequency of sVAD attributable to high-pillow usage. PATIENTS ANDMETHODS:
This case-control study identified patients with sVAD and age- and sex-matched non-sVAD controls (case-to-control ratio 11) treated at a certified comprehensive stroke center in Japan between 2018 and 2023. The pillow height used at the onset of the index disease was measured and classified into three categories between 12 and 15 cm boundaries. Univariable logistic regression was performed to assess the odds ratio (OR) with a 95% confidence interval (CI) of high-pillow usage for sVAD development. A subgroup of sVAD attributable to high-pillow usage was defined with the following three conditions high-pillow usage (⩾12 or ⩾15 cm); no minor preceding trauma; and wake-up onset.RESULTS:
Fifty-three patients with sVAD and 53 non-sVAD controls (42% women, median age 49 years) were identified. High-pillow usage (⩾12 and ⩾15 cm) was more common in the sVAD group than in the non-sVAD group (34 vs 15%; OR = 2.89; 95%CI = 1.13-7.43 and 17 vs 1.9%; OR = 10.6; 95%CI = 1.30-87.3, respectively). The subgroup of sVAD attributed to high-pillow usage (⩾12 and ⩾15 cm) was found in 11.3% (95%CI = 2.7%-19.8%) and 9.4% (95%CI = 1.5%-17.3%), respectively.CONCLUSION:
High-pillow usage was associated with an increased risk of sVAD and accounted for approximately 10% of all sVAD cases. This tentative subgroup of sVAD may represent a distinct spectrum of disease-Shogun pillow syndrome.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Disección de la Arteria Vertebral
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Eur Stroke J
Año:
2024
Tipo del documento:
Article
País de afiliación:
Japón