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Related Experiment Videos

Headache as only symptom in multiple cervical artery dissection.

M Buyle1, S Engelborghs, J Kunnen

  • 1Department of Neurology, Middelheim General Hospital, Antwerp, Belgium.

Headache
|May 31, 2001
PubMed
Summary

A patient

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Cervical artery dissection (CAD) is a significant cause of stroke in young adults.
  • Headache is a common symptom, but atypical presentations can delay diagnosis.
  • Arterial hypertension is a known risk factor for vascular events.

Observation:

  • A patient presented with atypical headache as the sole symptom.
  • Initial assessment considered arterial hypertension as the cause of headache.
  • Four-vessel arteriography revealed spontaneous dissection of bilateral internal carotid arteries and the right vertebral artery.

Findings:

  • The case demonstrates a rare instance of spontaneous triple cervical artery dissection.
  • Conventional arteriography was crucial in diagnosing the multiple arterial dissections.
  • Multiple cervical artery dissections, though uncommon, necessitate thorough examination.

Implications:

  • This case underscores the importance of considering cervical artery dissection in patients with unexplained headaches, even with concurrent hypertension.
  • Conventional arteriography remains a valuable diagnostic tool for identifying complex cervical artery dissections.
  • A comprehensive arteriographic evaluation of all cervical arteries is recommended when dissection is suspected to avoid missed diagnoses.

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