Posterior headache as a warning symptom of vertebral dissection: a case report.
Cervicocerebral arterial dissection is an important cause of stroke in young adults; the onset is often characterised by severe occipital headache, followed by nausea, vomiting and vertigo, mimicking a migraine attack. We describe herewith a case of vertebral arterial dissection with cerebellar infarction, which started with a posterior headache and neurovegetative symptoms, without other signs. Recommendations for recognition of similar cases, potentially dangerous and treatable, are discussed.
Lanfranchi
S
S
U.O. Neurologia, Azienda Ospedaliera S. Antonio Abate, Via Pastori 4, Gallarate (VA), Italy. stefy.lanfranchi@libero.it
Di Falco
M
M
Perini
M
M
Zarcone
D
D
D001859:Bone Neoplasms / Q000150:complications; D002526:Cerebellar Diseases / Q000175:diagnosis / Q000209:etiology; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D020217:Vertebral Artery Dissection / Q000150:complications / Q000175:diagnosis*