Adults with cervical artery dissection who develop dissecting aneurysms do not have an increased risk of stroke within six months of diagnosis compared to those without aneurysms, according to preliminary research from a global registry. The findings, to be presented at the American Stroke Association’s International Stroke Conference 2026, provide crucial information about managing this condition that accounts for up to 25% of strokes in adults under 50. Cervical artery dissection occurs when a tear forms in the inner wall of a neck artery, potentially allowing blood to leak and form clots that can cause ischemic strokes. In some cases, this leakage creates a bulge called a dissecting aneurysm.
Researchers analyzed data from 4,008 adults in the STOP-CAD registry, finding that 19% developed dissecting aneurysms. Despite concerns, these patients showed no higher stroke risk than those without aneurysms during the six-month observation period. Study author Muhib Khan of Mayo Clinic noted that scientific information about dissecting aneurysms has been limited regarding diagnosis, monitoring aneurysm growth, and patient management. The analysis revealed that about 10% of dissecting aneurysms showed growth over six months, but this growth did not correlate with increased stroke risk either.
People with dissecting aneurysms were more likely to have migraines, connective tissue disorders, or minor neck trauma before dissection, factors that could help clinicians monitor at-risk patients. Study co-author Zafer Keser noted that dissecting aneurysm formation was not related to hemorrhagic stroke or increased mortality. The findings could influence clinical practice by potentially reducing unnecessary imaging and interventions. Former International Stroke Conference chair Louise McCullough explained that the results will probably give clinicians pause when considering interventions such as placing a carotid stent when stroke risk appears low.
The study has limitations including its retrospective design and lack of standardized image assessment. Researchers acknowledge that prospective studies with clear treatment protocols would help confirm these findings. The research abstract is available through the American Stroke Association International Stroke Conference 2026 Online Program Planner. More information about stroke statistics is available at https://www.stroke.org. While the findings are preliminary until published in a peer-reviewed journal, they offer important insights for managing cervical artery dissection patients during the critical first months after diagnosis.
