title: Headache: an unusual presentation of aortic dissection.
abstract: The most common presenting symptom of aortic dissection is chest pain - headache as the initial manifestation is rare. We report a patient with a history of hypertension who presented with severe bifrontal headache, and was found to have an acute aortic dissection in the absence of carotid artery dissection. A discussion of the atypical presentation and possible pathophysiology follows.
authors.affiliation: Singapore General Hospital, Singapore, Republic of Singapore.
authors.forename: Sukhvinder
authors.initials: S
authors.lastname: Singh
authors.forename: John Y
authors.initials: JY
authors.lastname: Huang
authors.forename: Kenny
authors.initials: K
authors.lastname: Sin
authors.forename: Rabind A
authors.initials: RA
authors.lastname: Charles
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis*; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged