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Headache in Intracranial and Cervical Artery Dissections
1Department of Neurology, Icahn School of Medicine at Mt Sinai, Beth Israel-Mt Sinai Hospital, New York, NY, 10003, USA. Huma927@gmail.com.
Current Pain and Headache Reports
|January 14, 2016
Summary
Arterial dissection, a tear in the artery wall, commonly affects young individuals after neck trauma. Diagnosis requires vessel imaging, and common symptoms include head and neck pain, with potential for stroke.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Arterial dissection involves a tear in the artery wall, classified as intracranial or extracranial.
- It predominantly affects younger individuals, often linked to neck trauma.
Observation:
- Diagnosis relies on vessel imaging such as MRA, CTA, or angiography.
- Common symptoms include head and neck pain, Horner's syndrome, and ischemic events like TIA or stroke.
Findings:
- Headache is a frequent presentation, with case reports describing migraine-like or hemicrania-like patterns.
- Limited research exists on the specific headache phenotypes and long-term outcomes associated with dissection.
Implications:
- Dissection should be considered in new acute headache presentations.
- Treatment typically involves anti-platelet or anti-coagulation therapy, though evidence from randomized controlled trials is scarce.
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