Headache secondary to cervical artery dissections: practice pointers

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
Simone GalleriniRoberto Marconi

Abstract

Cervical artery dissections may present with mild and misleading symptoms such as a headache or cervical pain. In the absence of early diagnosis and therapy, such patients may have a high risk of cerebrovascular events. In order to refine evaluation of cervical artery dissections, we report the experience of a single center, focusing on clinical findings (e.g., headache and pain-related features at onset). From 2012 to 2017, 49 patients with cervical arteries dissections were admitted to our institution; 28 out of 49 patients (57%) presented with a headache or cervical pain, which were evaluated according to the International Classification of Headache Disorders (ICHD-III beta). Item C3a of ICHD-III beta ("pain is severe and continuous for days or longer") was present in all patients symptomatic for a headache. Another common characteristic was the recent onset, with an average (± SD) timing from the onset of a headache to the first neurologic evaluation of 3 (± 2) days (range 1-5). A refined clinical evaluation of patients presenting with a headache at the Emergency Department could improve the early detection and management of patients with cervical artery dissections, in particular when presenting without other associated ne...Continue Reading

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Apr 3, 2014·Stroke; a Journal of Cerebral Circulation·Simone GalleriniRoberto Marconi
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Citations

Jan 2, 2020·Internal and Emergency Medicine·Maria Adele GiamberardinoPaolo Martelletti
May 20, 2020·Clinical Practice and Cases in Emergency Medicine·Robert LookRyan Misek
Jul 2, 2020·Stroke and Vascular Neurology·Jiajie LuHongru Zhao
Aug 31, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Meng-Chun ChiangChia-Chun Chiang

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