title: Vertebral artery dissection onset mimics migraine with aura in a graphic designer.
abstract: Headache is the most common symptom in patients with cervical artery dissection. This symptom, however, rarely occurs in isolation, and more commonly is associated with other neurological symptoms and signs. Visual symptoms associated with vertebral artery dissection (VD) have also been observed, but do not typically mimic the migraine aura. Here, we report a young patient who presented VD, embolic ischemic lesions, and visual symptoms with the features of aura, followed by migraine headache. The suggestion of VD dissection should be kept in mind in those cases complaining of the first attack of headache that mimics migraine with aura. In these cases, an extensive neuroimaging study is advisable.
authors: University Centre for Adaptive Disorders and Headache (UCADH), Institute of Neurology, Department of Neurosciences, University of Pisa, Pisa, Italy.
authors: Nicola
authors: N
authors: Morelli
authors: Michelangelo
authors: M
authors: Mancuso
authors: Sara
authors: S
authors: Gori
authors: Maria Rosaria
authors: MR
authors: Maluccio
authors: Gianfranco
authors: G
authors: Cafforio
authors: Alberto
authors: A
authors: Chiti
authors: Giovanni
authors: G
authors: Orlandi
authors: Enrico
authors: E
authors: Ceretti
authors: Antonio
authors: A
authors: Tartaglione
authors: Luigi
authors: L
authors: Murri
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D020325:Migraine with Aura / Q000209:etiology* / Q000503:physiopathology; D020217:Vertebral Artery Dissection / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology
chemical_list: D000925:Anticoagulants; D006493:Heparin; D001241:Aspirin