Clinical practice and cases in emergency medicine · 2020
Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Look Robert, Terlau Thomas J, Misek Ryan
Аннотация
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.
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.