Cervical artery dissection (CAD): clinical features

Evidence-based neurology checklist on cervical artery dissection (cad): clinical features: Headache The headache occurs before the onset of stroke It is often non-specific but may present as migraine or cluster headache It may also present as hemicrania continua Neck pain Stroke Global orbital…

Headache

  • The headache occurs before the onset of stroke
  • It is often non-specific but may present as migraine or cluster headache 
  • It may also present as hemicrania continua

Neck pain

Stroke

Global orbital infarction syndrome

Other features

Features of familial CAD (fCAD)

Differential diagnosis of headaches preceding stroke

Prognosis

References

  1. Campos-Herrera CR, Scaff M, Yamamoto FI, Conforto AB. Spontaneous cervical artery dissection. An update on clinical and diagnostic aspects. Arq Neuropsiquaiatr 2008; 66:922-927.
  2. Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol 2009; 8:668-678.
  3. Debette S, Grond-Ginsbach C, Bodenant M, et al. Differential features of carotid and vertebral artery dissections. The CADISP study. Neurology 2011; 77:1174-1181.
  4. Mirza Z, Hayward P, Hulbert D. Spontaneous carotid artery dissection presenting as migraine-a diagnosis not to be missed. J Accid Emerg Med 1998; 15:187-199.
  5. De Giuli V, Grassi M, Lodigiani C, et al; Italian Project on Stroke in Young Adults Investigators. Association between migraine and cervical artery dissection: the italian project on stroke in young adults. JAMA Neurol 2017; 74:512-518. 
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