Vertebral Artery Dissection Mimicking Migraine: A Case Report

Authors

  • Rahalkar Kshitij (Ed), FAMS, GDOM Department of Emergency Medicine, Singapore General Hospital, Outram Road 169608, Singapore
  • Hong K. Lau (Ed), FAMS, GDOM Department of Emergency Medicine, Singapore General Hospital, Outram Road 169608, Singapore
  • R Ponampalam (Ed), FAMS, GDOM Department of Emergency Medicine, Singapore General Hospital, Outram Road 169608, Singapore

DOI:

https://doi.org/10.17140/EMOJ-7-162

Keywords:

Vertebral artery dissection, Migraine, Headache, Neck pain

Abstract

Vertebral artery dissection (VAD) is caused by an intimal tear that leads to bleeding into the vascular wall, which may cause vascular occlusion by thrombus formation and subsequent distal emboli (leading to ischemic stroke), aneurysm formation and sub arachnoid hemorrhage. Cervical artery dissections (either carotid or vertebral artery dissection) are an important cause of stroke in patients under 50-years of age. Headache with or without neck pain is a common symptom. Usually, it occurs with focal neuro logical signs but sometimes it may occur without any neurological deficits and may mimic migraine. Often it occurs spontaneously without trauma but sometimes there is history of minor traumas, sudden neck movements or chiropractic manipulation. Imaging modalities include magnetic resonance imaging (MRI) brain, magnetic resonance angiography (MRA), and computed tomography angiography (CTA). Treatment involves anticoagulation or antiplatelet agents.

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Published

2021-09-27

How to Cite

Rahalkar Kshitij, Hong K. Lau, & R Ponampalam. (2021). Vertebral Artery Dissection Mimicking Migraine: A Case Report. Emergency Medicine, 7(1), 21–24. https://doi.org/10.17140/EMOJ-7-162

Issue

Vol. 7 No. 1 (2021): Volume 7 Issue 1 2021

Section

Articles

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