title: Hemicrania continua in carotid artery dissection - symptomatic cases or linked pathophysiology?
abstract: Background Hemicrania continua (HC) -like headaches have been rarely reported as symptomatic headaches, including cases secondary to cervical artery dissection. Case series We present five cases of HC-like headaches following cervical artery dissection, in three cases with specific indomethacin response. In two cases, comorbidity of fibromuscular dysplasia (FMD) was noted. Conclusion Carotid artery dissection may result in an HC-like headache syndrome. A specific response to indomethacin does not rule out dissection as underlying pathology. Screening for extracranial manifestations of FMD should be considered, especially in middle-aged females.
authors.affiliation: 1 Department of Neurology, University of Wisconsin Madison, USA.
authors.forename: Roland
authors.initials: R
authors.lastname: Brilla
authors.affiliation: 2 Department of Neurology, University of Münster, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Pawlowski
authors.affiliation: 2 Department of Neurology, University of Münster, Germany.|3 Krankenhaus Lindenbrunn, Coppenbruegge, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Evers
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging*; D002339:Carotid Arteries / Q000000981:diagnostic imaging*; D002340:Carotid Artery Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000000981:diagnostic imaging* / Q000209:etiology
keywords: Hemicrania continua; carotid artery dissection; fibromuscular dysplasia; indomethacin; symptomatic headache