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Updated: Jun 28, 2025

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Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line
Published on: September 13, 2024
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Persistent headache without neurologic deficit from a spontaneous vertebral artery dissection
Alec Ajhar1, Rohith Kothakapu2, Mitchell Arends1
1Emergency Medicine Resident at Madigan Army Medical Center, 9040A Jackson Avenue Joint Base Lewis-McChord, WA 98431-1100, USA.
The American Journal of Emergency Medicine
|April 24, 2024
Summary
Vertebral artery dissection can cause stroke, even without trauma or neurological deficits. Emergency physicians should consider this diagnosis for new headaches with preceding dizziness.
Area of Science:
- Neurology
- Emergency Medicine
- Vascular Surgery
Background:
- Non-traumatic headaches are frequent in emergency departments.
- Diagnosing stroke causes requires a comprehensive differential diagnosis.
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