Cervical artery dissection (CAD): clinical features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Cervical artery dissection (CAD): clinical features. The headache occurs before the onset of stroke. Fully referenced neurology checklist.
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
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Stroke
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Global orbital infarction syndrome
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Other features
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Features of familial CAD (fCAD)
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Differential diagnosis of headaches preceding stroke
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Prognosis
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References
- 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.
- Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol 2009; 8:668-678.
- 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.
- 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.
- 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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