A very unusual headache

Declan O’Kane

doi:10.7861/clinmedicine.14-3-323a

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

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References

↵
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
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↵
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
OpenUrl Abstract/FREE Full Text