Vertigo Research Today is a free monthly online journal that collates and summarizes the latest research about Vertigo, including details on causes, symptoms, treatment, dizziness.

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

Lanfranchi S, Di Falco M, Perini M, Zarcone D

U.O. Neurologia, Azienda Ospedaliera S. Antonio Abate, Via Pastori 4, Gallarate (VA), Italy. stefy.lanfranchi@libero.it

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.

Published 2 January 2006 in J Headache Pain, 6(6): 478-9.
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