LAUSR

Purpose of review Cervico-cranial arterial dissections are a distinct etiology of both ischemic and hemorrhagic neurovascular events. These dissections can involve the extracranial carotid or vertebral arteries, classified collectively as cervical artery dissections, or can be intracranial arterial dissections, and complications and management of each differ. The most recent evidence is reviewed in this publication. Recent findings Significant heterogeneity regarding treatments of dissections exists among providers and with recent advances in endovascular approaches to neurovascular care, appreciating the latest evidence on the guidance of treatment has never been so challenging. Furthermore, recognizing the complications of cervico-cranial dissections and implementing appropriate therapies can have a significant impact on patient outcomes. Summary Overall, limited randomized controlled data exists regarding the treatment of cervico-cranial dissections. Approach to management of these dissections and potential complications is largely based on observational studies and reported cases. The available evidence and strength vary depending on the case and complication.