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Pain as the only manifestation of internal carotid artery dissection.

Authors
  • Biousse, V
  • Woimant, F
  • Amarenco, P
  • Touboul, P J
  • Bousser, M G
Type
Published Article
Journal
Cephalalgia : an international journal of headache
Publication Date
Oct 01, 1992
Volume
12
Issue
5
Pages
314–317
Identifiers
PMID: 1423563
Source
Medline
License
Unknown

Abstract

Internal carotid artery dissection is a major cause of ischemic stroke in the young. Pain is the leading symptom and is associated with other focal signs such as Horner's syndrome and painful tinnitus or with signs of cerebral or retinal ischemia. We report two patients with angiographically confirmed extracranial internal carotid artery dissection presenting with cephalic pain as the only manifestation. The first patient had a diffuse headache and a latero-cervical pain lasting for 12 days, reminiscent of carotidynia. The second patient experienced an exploding headache suggestive of subarachnoid hemorrhage, which was ruled out by computed tomography of the head and cerebrospinal fluid study. These patients demonstrate that recognition of carotid artery dissection as a cause of carotidynia and headache suggestive of subarachnoid hemorrhage may permit an earlier diagnosis and possibly the prevention of a stroke through the use of anticoagulation.

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