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Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department
INTRODUCTION: Carotid artery dissection (CAD) is a critical diagnosis in the emergency department (ED). Trigeminal neuralgia, while not uncommon, may cause the patient significant discomfort but generally is not attributed to severe morbidity and mortality. CASE REPORT: We present a case of spontane...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220000/ https://www.ncbi.nlm.nih.gov/pubmed/32426687 http://dx.doi.org/10.5811/cpcem.2020.1.44664 |
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author | Look, Robert Terlau, Thomas J. Misek, Ryan |
author_facet | Look, Robert Terlau, Thomas J. Misek, Ryan |
author_sort | Look, Robert |
collection | PubMed |
description | INTRODUCTION: Carotid artery dissection (CAD) is a critical diagnosis in the emergency department (ED). Trigeminal neuralgia, while not uncommon, may cause the patient significant discomfort but generally is not attributed to severe morbidity and mortality. CASE REPORT: We present a case of spontaneous CAD presenting with the classic intermittent “lightning-like” jaw and head pain suggestive of trigeminal neuralgia that was ultimately diagnosed utilizing computed tomography angiogram after multiple visits to the ED. DISCUSSION: Coincidentally the patient had been started on anticoagulation a few days prior and no additional intervention was required. CONCLUSION: This case report discusses current recommendations for diagnosis, treatment, and long-term prognosis of CAD. |
format | Online Article Text |
id | pubmed-7220000 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-72200002020-05-18 Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department Look, Robert Terlau, Thomas J. Misek, Ryan Clin Pract Cases Emerg Med ACOEP Case Report INTRODUCTION: Carotid artery dissection (CAD) is a critical diagnosis in the emergency department (ED). Trigeminal neuralgia, while not uncommon, may cause the patient significant discomfort but generally is not attributed to severe morbidity and mortality. CASE REPORT: We present a case of spontaneous CAD presenting with the classic intermittent “lightning-like” jaw and head pain suggestive of trigeminal neuralgia that was ultimately diagnosed utilizing computed tomography angiogram after multiple visits to the ED. DISCUSSION: Coincidentally the patient had been started on anticoagulation a few days prior and no additional intervention was required. CONCLUSION: This case report discusses current recommendations for diagnosis, treatment, and long-term prognosis of CAD. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-04-14 /pmc/articles/PMC7220000/ /pubmed/32426687 http://dx.doi.org/10.5811/cpcem.2020.1.44664 Text en Copyright: © 2020 Look et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | ACOEP Case Report Look, Robert Terlau, Thomas J. Misek, Ryan Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department |
title | Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department |
title_full | Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department |
title_fullStr | Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department |
title_full_unstemmed | Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department |
title_short | Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department |
title_sort | spontaneous carotid artery dissection presenting as trigeminal neuralgia in the emergency department |
topic | ACOEP Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220000/ https://www.ncbi.nlm.nih.gov/pubmed/32426687 http://dx.doi.org/10.5811/cpcem.2020.1.44664 |
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