Perspectives in Medicine

Headache is the common symptom in patients with cervical artery dissection. However, it rarely occurs in isolation, without focal neurological signs, and even more rarely mimics migraine. Spontaneous CAD can be associated with minor traumas of various origin, including stretches, sudden neck movements and chiropractic manipulation. The authors present a clinical case of patient with new severe migraine-like hemicrania after cervical manipulative therapy in which dissection of vertebral artery was diagnosed after ultrasound and neuroimaging assessment.

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