Posterior headache as a warning symptom of vertebral dissection: a case report
S Lanfranchi1, M Di Falco, M Perini
1U.O. Neurologia, Azienda Ospedaliera S. Antonio Abate, Via Pastori 4, Gallarate (VA), Italy. stefy.lanfranchi@libero.it
Abstract:
Cervicocerebral arterial dissection is an important cause of stroke in young adults; the onset is often characterised by severe occipital headache, followed by nausea, vomiting and vertigo, mimicking a migraine attack. We describe herewith a case of vertebral arterial dissection with cerebellar infarction, which started with a posterior headache and neurovegetative symptoms, without other signs. Recommendations for recognition of similar cases, potentially dangerous and treatable, are discussed.
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