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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Vertebral Artery Dissection.

Lori Ginoza, Alexander Lerner, Erica Sigman

    The Journal of Orthopaedic and Sports Physical Therapy
    |June 2, 2020
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    Summary
    This summary is machine-generated.

    A physical therapy patient presenting with thunderclap headaches was diagnosed with a vertebral artery dissection. This case highlights the importance of considering vascular causes for sudden, severe headaches.

    Keywords:
    computed tomographyheadachemagnetic resonance imagingneck

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    Area of Science:

    • Neurology
    • Radiology
    • Physical Therapy

    Background:

    • Sudden, severe headaches, or thunderclap headaches, warrant thorough investigation due to potential serious underlying causes.
    • Physical therapists may encounter patients with symptoms that overlap with neurological emergencies.

    Observation:

    • A 40-year-old woman presented with headaches suggestive of a thunderclap headache.
    • Initial examination raised suspicion for a serious underlying condition.

    Findings:

    • Magnetic resonance angiography and computed tomography angiogram revealed a partial dissection of the right vertebral artery.
    • Vascular imaging confirmed the diagnosis of vertebral artery dissection.

    Implications:

    • This case underscores the need for physical therapists to maintain a high index of suspicion for vascular pathologies presenting as headaches.
    • Prompt neurological referral and advanced imaging are crucial for diagnosing conditions like vertebral artery dissection.
    • Early diagnosis and management of vertebral artery dissection can prevent severe neurological complications.