33rd year Turkish Society of Neuroradiology Congress, İstanbul, Türkiye, 16 - 18 Şubat 2024, cilt.66, ss.289-302, (Tam Metin Bildiri)
6.NUCHAL LIGAMENT OSSIFICATION: CAN IT BE IMPLICATED IN STROKE ETIOLOGY? PRELIMINARY RESULTS Sevcihan Kesen Özbek1 , Nezih Yaylı1 , Atiye Cenay Karabörk Kılıç1 1 Gazi University Of Medicine, Radiology Department Introduction and Aim: A relationship between difuse idiopathic skeletal hyperostosis (DISH) and ischemic stroke has been described in the literature, but the relationship between nuchal ligament ossifcation and ischemic stroke has not been described before.Nuchal ligament ossifcation (NLO) could be a risk factor in stroke etiology, both due to the underlying infammation and the cervical instability it may cause. The aim of our study is to examine the frequency of atherosclerosis and stroke accompanying NLO and to shed light on the potential relationship between them and NLO. Materials and Methods: We applied for ethics committee approval for the study and it is pending. Written informed consent were obtained from all patient for this study Between 2015 and 2022, 1192 patients who underwent neck CT, neck CT angiography and difusion MRI examinations were evaluated retrospectively by 2 radiologists. Nuchal ligament ossifcation was searched with CT and accompanying acute or chronic ischemic stroke or atherosclerosis was evaluated by difusion MRI, CT angiography and clinical data. Patients under 18 years of age and patients with a history of hemorrhagic stroke were excluded from the study. SPSS 28.0 package program and Microsoft Excel program were used for data analysis. Normal distributed data were expressed using the mean and standard deviation (S.D.) and categorical variables using frequency and percentage. The study was analyzed using chi-squared test and the crosstab chi-squared test. For p<.05, the results were considered statistically signifcant. Results: 644 were male, and 548 were female of, the 1192 patients, aged between 18-110 (60,89±16.1). NLO was found in 286 patients, atherosclerosis in 729, and stroke in 458. Descriptive characteristics are summarized in Table 1. Distributions of variable categories of the study sample were summarized in Table 2.