title: A case of posterior cerebral artery dissection presenting with migraine-like headache and visual field defect: usefulness of fast imaging employing steady-state acquisition (FIESTA) for diagnosis.
abstract: We report a 34-year-old woman with sudden onset of unilateral migraine-like headache and right homonymous hemianopsia. Fast imaging employing steady-state acquisition (FIESTA) of the posterior cerebral artery captured an intimal flap and a pseudolumen, leading to a diagnosis of posterior cerebral artery dissection. This case was considered a spontaneous posterior cerebral artery dissection causing migraine-like headache. The treatment of migraine-like headache hinges on correct diagnosis. In this case, FIESTA was very useful in diagnosing an intracranial artery dissection.
authors.affiliation: Department of Neurosurgery, Hakodate Shintoshi Hospital, Hakodate, Japan. haraguchi@yushinkai.jp
authors.forename: Koichi
authors.initials: K
authors.lastname: Haraguchi
authors.forename: Kentaro
authors.initials: K
authors.lastname: Toyama
authors.forename: Takeo
authors.initials: T
authors.lastname: Ito
authors.forename: Masahiro
authors.initials: M
authors.lastname: Hasunuma
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Sakamoto
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006423:Hemianopsia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008881:Migraine Disorders / Q000175:diagnosis / Q000209:etiology*; D020769:Posterior Cerebral Artery / Q000473:pathology*; D011237:Predictive Value of Tests; D014794:Visual Fields