Vertebral artery dissection onset mimics migraine with aura in a graphic designer.
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.
Morelli
Nicola
N
University Centre for Adaptive Disorders and Headache (UCADH), Institute of Neurology, Department of Neurosciences, University of Pisa, Pisa, Italy.
Mancuso
Michelangelo
M
Gori
Sara
S
Maluccio
Maria Rosaria
MR
Cafforio
Gianfranco
G
Chiti
Alberto
A
Orlandi
Giovanni
G
Ceretti
Enrico
E
Tartaglione
Antonio
A
Murri
Luigi
L
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
D000925:Anticoagulants; D006493:Heparin; D001241:Aspirin