Abstract
A 36-year-old female patient presented to hospital with a 1-week history of occipital headache. It was sudden onset following a fall into a swimming pool. Examination was unremarkable. CT angiogram brain scan showed right vertebral artery dissection with a 1 cm dissection flap and a 3 mm left middle cerebral artery aneurysm. She was discharged on aspirin, with outpatient neurology clinic follow-up.
Keywords:
headache (including migraines); medical management; neuroimaging; neurology.
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MeSH terms
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Adult
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Aftercare
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Aspirin / administration & dosage
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Aspirin / therapeutic use
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Computed Tomography Angiography / methods
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Diagnosis, Differential
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Early Diagnosis
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Female
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Headache / diagnosis
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Headache / etiology
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Humans
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Intracranial Aneurysm / diagnostic imaging
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Intracranial Aneurysm / drug therapy
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Intracranial Aneurysm / pathology*
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Platelet Aggregation Inhibitors / administration & dosage
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Platelet Aggregation Inhibitors / therapeutic use
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Vertebral Artery / diagnostic imaging
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Vertebral Artery / pathology*
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Vertebral Artery Dissection / diagnostic imaging
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Vertebral Artery Dissection / pathology*
Substances
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Platelet Aggregation Inhibitors
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Aspirin