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from 7 - Vasospastic Conditions and Other Vasculopathies
Published online by Cambridge University Press: 06 October 2022
Migraine is associated with a higher risk of cervical carotid artery disection than of non-cervical carotid artery dissection ischemic stroke and this risk is especially evident for migraine without aura. We present a 41 year old man with persistent pain localised on entire left side of the head. Migrainous features in the presentation included: unilateral pain, throbbing quality, accompanying nausea, and photophobia. His condition later deteriorated and he developed dysphagia. MRI showed clear hyperintensity in the left medullar area and DSA demonstrated a thrombotic stenosis and left vertebral artery dissection, which was effectively treated with coil embolization
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