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A very unusual headache

Declan O’Kane
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DOI: https://doi.org/10.7861/clinmedicine.14-3-323a
Clin Med June 2014
Declan O’Kane
ANorthampton General Hospital, Northampton, UK
Roles: Consultant stroke physician
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Editor – ‘A very unusual headache’ (Clin Med February 2014 pp 58–60) is an interesting case indeed. However, the acute severe headache with nausea and vomiting is likely to be an initial presentation of migraine. There is a well described, but poorly understood, relationship between migraine and cervical artery dissection.1 There is also evidence that those with aortic root pathology in Marfan syndrome have increased risk of migraine with aura.2

Footnotes

  • Please submit letters for the editor's consideration within three weeks of receipt of Clinical Medicine. Letters should ideally be limited to 350 words, and sent by email to: clinicalmedicine{at}rcplondon.ac.uk

  • © 2014 Royal College of Physicians

References

  1. ↵
    1. Rist PM,
    2. Diener HC,
    3. Kurth T,
    4. Schürks M
    . Migraine, migraine aura, and cervical artery dissection: a systematic review and meta-analysis. Cephalalgia 2011;31:886–96.doi:10.1177/0333102411401634
    OpenUrlAbstract/FREE Full Text
  2. ↵
    1. Koppen H,
    2. Vis JC,
    3. Gooiker DJ,
    4. et al.
    Aortic root pathology in Marfan syndrome increases the risk of migraine with aura. Cephalalgia 2012;32:467–72.doi:10.1177/0333102412441091
    OpenUrlAbstract/FREE Full Text
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A very unusual headache
Declan O’Kane
Clinical Medicine Jun 2014, 14 (3) 323; DOI: 10.7861/clinmedicine.14-3-323a

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A very unusual headache
Declan O’Kane
Clinical Medicine Jun 2014, 14 (3) 323; DOI: 10.7861/clinmedicine.14-3-323a
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