Spontaneous Bilateral Internal Carotid Artery Dissection and Migraine: A Potential Diagnostic Delay
Article first published online: 19 JAN 2002
Headache: The Journal of Head and Face Pain
Volume 37, Issue 2, pages 109–112, February, 1997
How to Cite
Duyff, R.F., Snijders, C.J. and Vannesle, J.A.L. (1997), Spontaneous Bilateral Internal Carotid Artery Dissection and Migraine: A Potential Diagnostic Delay. Headache: The Journal of Head and Face Pain, 37: 109–112. doi: 10.1046/j.1526-4610.1997.3702109.x
- Issue published online: 19 JAN 2002
- Article first published online: 19 JAN 2002
- Accepted for publication June 10, 1996.
- carotid artery;
A 36-year-old man with a history of migraine without aura, presented with recurrent bouts of severe headache, perception of flashing lights in both visual fields, and transient bilateral neurological deficits. In view of his history, migraine with aura was considered. Ancillary investigations showed bilateral extracranial internal carotid artery dissection. This case illustrates that when attacks of severe headache with scotomata and transient bilateral neurological deficits occur in a patient with a history of migraine, the diagnosis of carotid artery dissection should be considered, especially when the pattern of headache is different or when some clinical characteristics have not been experienced previously.