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Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department
Robert Look1, Thomas J Terlau2, Ryan Misek1,3
1Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois.
Introduction:
Carotid artery dissection (CAD) is a critical diagnosis in the emergency department (ED). Trigeminal neuralgia, while not uncommon, may cause the patient significant discomfort but generally is not attributed to severe morbidity and mortality.
Case Report:
We present a case of spontaneous CAD presenting with the classic intermittent "lightning-like" jaw and head pain suggestive of trigeminal neuralgia that was ultimately diagnosed utilizing computed tomography angiogram after multiple visits to the ED.
Discussion:
Coincidentally the patient had been started on anticoagulation a few days prior and no additional intervention was required.
Conclusion:
This case report discusses current recommendations for diagnosis, treatment, and long-term prognosis of CAD.
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