Document Detail

Unusual visual symptoms in a patient with bilateral vertebral artery dissection: a case report.
MedLine Citation:
PMID:  17044579     Owner:  NLM     Status:  MEDLINE    
We present a previously unreported set of symptoms in a patient found to have bilateral vertebral dissections. Although visual symptoms are common in vertebral dissection, their pattern does not typically mimic those that commonly precede or accompany migraine headache. When they do occur, they usually take the form of diplopia or blurred vision. The patient we describe had visual symptoms that varied over three episodes of headache and included transient visual field loss and scintillations ("lightning bolts"), both common in migraine. However, our patient's new visual symptoms represented a change in pattern from those that had accompanied her previous migraines. This detailed history-taking prompted an evaluation for an etiology other than migraine and prevented a further delay in diagnosis and treatment.
John T Nagurney; David Feldman; Daniel P Cahill; Nehal M Gatha; Walter J Koroshetz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  31     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-10-18     Completed Date:  2006-11-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  169-71     Citation Subset:  IM    
Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, 02115, USA.
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MeSH Terms
Diagnosis, Differential
Magnetic Resonance Angiography
Migraine with Aura / complications,  diagnosis*
Scotoma / etiology
Vertebral Artery Dissection / complications*,  diagnosis*
Vision Disorders / etiology*

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