Open Access

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

The Journal of Headache and Pain20056:259

Published: 15 December 2005


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.

Key words

Cervicocerebral arterial dissections (CAD)HeadacheStroke