A case of severe headache attributed to vertebral artery dissection

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ID: 57409
2019
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Abstract
Abstract Background Vertebral artery dissection (VAD) sometimes has no specific symptoms and is difficult to differentiate from other forms of headache. Case presentation A woman in her thirties had a severe, throbbing left-sided headache. A migraine without aura was suspected and zolmitriptan was administered, which alleviated the symptoms. The woman was consequently deemed to have a migraine without aura. Despite the lack of abnormal neurological findings and showed no abnormalities on cranial computed tomography, her symptoms were not typical for migraines and showed little improvement with therapy. She therefore underwent a cranial magnetic resonance imaging (MRI) examination, which revealed VAD, for which she was transferred to the department of neurosurgery for conservative treatment. Conclusion The possibility of vertebral artery dissection should be considered in the differential diagnosis of severe secondary headaches, and prompt diagnosis and treatment based on detailed MRI and magnetic resonance angiography examinations should be performed.
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sakakibara2019aja Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Sakakibara, Satoshi;Nakatani, Toshihiko;Yamamoto, Hanako;Motooka, Akihiro;Hashimoto, Tatsuya;Saito, Yoji;
Journal ja clinical reports
Year 2019
DOI
DOI not found
URL
http://link.springer.com/article/10.1186/s40981-019-0247-9
Keywords
Infectious and parasitic diseases Medicine (General) Medicine Medical emergencies. Critical care. Intensive care. First aid neurology. diseases of the nervous system public aspects of medicine anesthesiology

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