Pain as an alarm signal in cervical carotid dissection: report of a case with catastrophic evolution

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2022.39

Keywords:

Arterial dissection, Carotid artery, Stroke

Abstract

Background

Cervical carotid dissection is a commonly reported arteriopathy and is associated with stroke in young, healthy patients.

Case report

The authors present a case of a woman with pain of recent onset secondary to a dissection of the cervical segment of the carotid artery on the same side and that evolved with stroke.

Conclusion

The diagnosis of arterial dissection is based on clinical suspicion and angiographic images of the encephalic vessels.

Downloads

Download data is not yet available.

References

Jensen MB, Chacon MR and Aleu A. Cervicocerebral arterial dissection. Neurologist 2008;14(1):5-6 Doi:10.1097/NRL.0b013e3180d0a380. DOI: https://doi.org/10.1097/NRL.0b013e3180d0a380

Lloyd ML, Billingslea S and Slama R. Atraumatic vertebral artery dissection in a patient with a migraine headache. Mil Med 2021 Apr 20;usab135 Doi:10.1093/milmed/usab135. DOI: https://doi.org/10.1093/milmed/usab135

Manabe H, Yonezawa K, Kato T, Toyama K, Haraguchi K, and Ito T. Incidence of intracranial arterial dissection in non-emergency outpatients complaining of headache: preliminary investigation with MRI/MRA examinations. Acta Neurochir Suppl 2010;107:41-44 Doi:10.1007/978-3-211-99373-6_6. DOI: https://doi.org/10.1007/978-3-211-99373-6_6

Maruyama H, Nagoya H, Kato Y, Deguchi I, Fukuoka T, Ohe Y, ... Tanahashi N. Spontaneous cervicocephalic arterial dissection with headache and neck pain as the only symptom. J Headache Pain 2012;13(3):247-53 Doi:10.1007/s10194-012-0420-2. DOI: https://doi.org/10.1007/s10194-012-0420-2

Matsumoto H, Hanayama H, Sakurai Y, Minami H, Masuda A, Tominaga S, ... Hirata Y. Investigation of the characteristics of headache due to unruptured intracranial vertebral artery dissection. Cephalalgia 2019;39(4):504-514 Doi:10.1177/0333102418791818. DOI: https://doi.org/10.1177/0333102418791818

Anson J and Crowell RM. Cervicocranial arterial dissection. Neurosurgery 1991;29(1):89-96 Doi:10.1097/00006123-199107000-00015. DOI: https://doi.org/10.1227/00006123-199107000-00015

Maderia LM, Hoffman MK and Shlossman PA. Internal carotid artery dissection as a cause of headache in the second trimester. Am J Obstet Gynecol 2007;196(1):e7-8 Doi:10.1016/j.ajog.2006.09.044. DOI: https://doi.org/10.1016/j.ajog.2006.09.044

Sultan S, Hynes N, Acharya Y, Kavanagh E, and Jordan F. Systematic review of the effectiveness of carotid surgery and endovascular carotid stenting versus best medical treatment in managing symptomatic acute carotid artery dissection. Ann Transl Med 2021;9(14):1212 Doi:10.21037/atm-20-7279. DOI: https://doi.org/10.21037/atm-20-7279

Vineetha VS, Sreedharan SE, Sarma OS and Sylaja PN. Antiplatelets versus anticoagulants in the treatment of extracranial carotid and vertebral artery dissection. Neurol India 2019;67(4):1056-1059 Doi:10.4103/0028-3886.266290. DOI: https://doi.org/10.4103/0028-3886.266290

Daou B, Hammer C, Mouchtouris N, Starke RM, Koduri S, Yang S, … Tjoumakaris S. Anticoagulation vs antiplatelet treatment in patients with carotid and vertebral artery dissection: A study of 370 patients and literature review. Neurosurgery 2017;80(3):368-379 Doi:10.1093/neuros/nyw086. DOI: https://doi.org/10.1093/neuros/nyw086

Bajenaru O, Tiu C, Dorobat B and Antochi F. Why antiplatelet treatment in spontaneous internal carotid dissection? J Neural Transm (Vienna) 2013;120(2):335-338 Doi: 10.1007/s00702-012-0942-4. DOI: https://doi.org/10.1007/s00702-012-0942-4

Bontinis V, Antonopoulos CN, Bontinis A, Koutsoumpelis A, Zymvragoudakis V, Rafailidis V, ... Ktenidis K. A systematic review and meta-analysis of carotid artery stenting for the treatment of cervical carotid artery dissection. Eur J Vasc Endovasc Surg 2022;64(4):299-308 Doi:10.1016/j.ejvs.2022.07.048. DOI: https://doi.org/10.1016/j.ejvs.2022.07.048

Aymerich N, Gallego J, Soriano G and Villanueva JA. Extracranial carotid dissection presenting with cluster headache. Rev Neurol 2000;31(6):594-595. DOI: https://doi.org/10.33588/rn.3106.2000081

Ashkenazi A, Abbas MA, Sharma DK and Silberstein SD. Hemicrania continua-like headache associated with internal carotid artery dissection may respond to indomethacin. Headache 2007;47(1):127-130 Doi:10.1111/j.1526-4610.2006.00637.x. DOI: https://doi.org/10.1111/j.1526-4610.2006.00637.x

Borelli P, Baldacci F, Nuti A, Lucetti C, Berti C, Logi C, ... Bonuccelli U. Postpartum headache due to spontaneous cervical artery dissection. Headache 2011;51(5):809-813 Doi:10.1111/j.1526-4610.2011.01881.x DOI: https://doi.org/10.1111/j.1526-4610.2011.01881.x

Buyle M, Engelborghs S, Kunnen J and De Deyn PP. Headache as only symptom in multiple cervical artery dissection. Headache 2001;41(5):509-511 Doi:10.1046/j.1526-4610.2001.01090.x. DOI: https://doi.org/10.1046/j.1526-4610.2001.01090.x

Candeloro E, Canavero I, Maurelli M, Cavallini A, Ghiotto N, Vitali P, … Micieli G. Carotid dissection mimicking a new attack of cluster headache. J Headache Pain 2013;14(1):84 Doi:10.1186/1129-2377-14-84. DOI: https://doi.org/10.1186/1129-2377-14-84

Chen YC, Ou YH, Chang MC, Chen WL and Lin CM. Vertebral artery dissection stroke in evolution presented with postural headache as initial manifestation. Neurol Int 2018;10(2):7694 Doi:10.4081/ni.2018.7694. DOI: https://doi.org/10.4081/ni.2018.7694

Downloads

Published

2023-02-02

How to Cite

1.
Valença MM, Valença MF, Valença MA, Leitão LB, Valença LPA de A, Silva-Néto RP. Pain as an alarm signal in cervical carotid dissection: report of a case with catastrophic evolution. Headache Med [Internet]. 2023 Feb. 2 [cited 2024 Apr. 30];13(4):301-5. Available from: https://headachemedicine.com.br/index.php/hm/article/view/755

Issue

Section

Case Report

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>