Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department.

Autor:	Look R; Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois., Terlau TJ; Midwestern University, Chicago College of Osteopathic Medicine, Downers Grove, Illinois., Misek R; Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois.; Midwestern University, Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois.
Jazyk:	angličtina
Zdroj:	Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2020 Apr 14; Vol. 4 (2), pp. 255-258. Date of Electronic Publication: 2020 Apr 14 (Print Publication: 2020).
DOI:	10.5811/cpcem.2020.1.44664
Abstrakt:	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. Competing Interests: Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none. (Copyright: © 2020 Look et al.)
Databáze:	MEDLINE
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