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J Headache Pain. 2005 December; 6(6): 478–479.
Published online 2005 December 15. doi:  10.1007/s10194-005-0259-x
PMCID: PMC3452306

Posterior headache as a warning symptom of vertebral dissection: a case report

Abstract

Cervicocerebral arterial dissection is an important cause of stroke in young adults; the onset is often characterised by severe occipital headache, followed by nausea, vomiting and vertigo, mimicking a migraine attack. We describe herewith a case of vertebral arterial dissection with cerebellar infarction, which started with a posterior headache and neurovegetative symptoms, without other signs. Recommendations for recognition of similar cases, potentially dangerous and treatable, are discussed.

Key words: Cervicocerebral arterial dissections (CAD), Headache, Stroke

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