Abstract
We report three patients with angiographically confirmed internal carotid artery (ICA) dissection who presented with transient symptoms resembling migraine with aura. Marching impairments from one modality to another preceded recognition of the diagnosis of dissection and were not associated with clinical or radiologic evidence of cerebral infarction. We review the clinical patterns in which ICA dissection may be identified in the setting of migrainous symptoms, given the different therapeutic approaches to migraine and dissection and the non-invasive means to diagnose dissection with magnetic resonance imaging (MRI). We offer mechanisms for recurrent neurologic symptoms in patients with ICA dissection.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 116-120 |
| Number of pages | 5 |
| Journal | Clinical Neurology and Neurosurgery |
| Volume | 100 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jun 1998 |
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Keywords
- Cervical artery dissection
- Internal carotid artery
- Migraine with aura
- Symptomatic migraine
- Transient ischemic attack
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
- Neurology
Cite this
Transient migraine-like symptoms with internal carotid artery dissection. / Silverman, Isaac E.; Wityk, Robert J.
In: Clinical Neurology and Neurosurgery, Vol. 100, No. 2, 06.1998, p. 116-120.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Transient migraine-like symptoms with internal carotid artery dissection
AU - Silverman, Isaac E.
AU - Wityk, Robert J.
PY - 1998/6
Y1 - 1998/6
N2 - We report three patients with angiographically confirmed internal carotid artery (ICA) dissection who presented with transient symptoms resembling migraine with aura. Marching impairments from one modality to another preceded recognition of the diagnosis of dissection and were not associated with clinical or radiologic evidence of cerebral infarction. We review the clinical patterns in which ICA dissection may be identified in the setting of migrainous symptoms, given the different therapeutic approaches to migraine and dissection and the non-invasive means to diagnose dissection with magnetic resonance imaging (MRI). We offer mechanisms for recurrent neurologic symptoms in patients with ICA dissection.
AB - We report three patients with angiographically confirmed internal carotid artery (ICA) dissection who presented with transient symptoms resembling migraine with aura. Marching impairments from one modality to another preceded recognition of the diagnosis of dissection and were not associated with clinical or radiologic evidence of cerebral infarction. We review the clinical patterns in which ICA dissection may be identified in the setting of migrainous symptoms, given the different therapeutic approaches to migraine and dissection and the non-invasive means to diagnose dissection with magnetic resonance imaging (MRI). We offer mechanisms for recurrent neurologic symptoms in patients with ICA dissection.
KW - Cervical artery dissection
KW - Internal carotid artery
KW - Migraine with aura
KW - Symptomatic migraine
KW - Transient ischemic attack
UR - http://www.scopus.com/inward/record.url?scp=0031824823&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031824823&partnerID=8YFLogxK
U2 - 10.1016/S0303-8467(98)00011-0
DO - 10.1016/S0303-8467(98)00011-0
M3 - Article
C2 - 9746299
AN - SCOPUS:0031824823
VL - 100
SP - 116
EP - 120
JO - Clinical Neurology and Neurosurgery
JF - Clinical Neurology and Neurosurgery
SN - 0303-8467
IS - 2
ER -