Related Experiment Video
Updated: Jun 23, 2026

Precision Induction and Distinction of Coughing and Sneezing Reflexes in Mice
Published on: October 3, 2025
A headache not to be sneezed at
1Department of Anaesthetics, Royal Berkshire NHS Foundation Trust, Reading, UK. davidgarry2000@yahoo.co.uk
Abstract:
A 32-year-old male patient presented to the emergency department (ED) complaining of a headache and vertigo precipitated by sneezing. He had a recent history of neck trauma. Examination revealed horizontal nystagmus and a gait that veered to the left, exacerbated by heel to toe walking. A diagnosis of vertebral artery dissection (VAD) was suspected. A bleed was ruled out in the ED by computerised tomography, after which the patient was loaded with aspirin. The diagnosis was confirmed by magnetic resonance imaging and magnetic resonance angiography. Although optimal treatment for VAD is unknown, the Cervical Artery Dissection in Stroke Study (CADISS) is an ongoing randomised multicentre prospective study comparing antiplatelet therapy with anticoagulation for patients with both carotid artery dissection and VAD. Headache is a very common presentation to the ED and a full neurological examination is essential if rarer causes are not to be missed.
Related Concept Videos
Seizures l: Introduction
Brain Abscess l: Introduction
Upper Respiratory Drugs: Decongestants
Most decongestants are readily available over-the-counter in various...
Epistaxis
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Encephalitis l: Introduction
Increased Intracranial Pressure l: Introduction

