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- W2015392968 abstract "A 34-year-old white man presented with a chief complaint of daily headache for 2 weeks. The headache occurred every morning as a sharp ice-pick pain initially involving the right hemicranium localizing to the right re trobulbular area over a 2-hour period. The headache was associated with rightsided nasal stuffiness, lacrimation, and an injected conjunctiva. The pat ient denied photophobia, nausea, vomiting, neurologic symptoms, or visual scintillations. Medications included ace taminophen with codeine, which only partially relieved the pain. The pat ient was an accountant , smoked two packages of cigarettes pe r day, and drank five beers dally. Physical examinat ion revealed a blood pressure of 120/ 80 m m Hg with a pulse of 70. A right-sided H o m e r ' s was present with lid droop and miosis of the pupil. The remainder of the cranial nerves were intact. The carotid arterial pulses were normal, and no bruits were auscultated. The remainder of the physical and neurologic . examinat ion was normal. Complete blood count, metabol ic profile, and sedimentat ion rate were normal. A computed axial tomography (CAT) scan was normal except for a possible rightsided venous pool. A neurological consu l tan t diagnosed cluster headaches. A magnetic resonance imaging scan (MRI) was obtained to further delineate the venous PO01 and revealed, as an unexpec ted finding, a dissection and occlusion of the right internal carotid ar tery (F igu re 1). This was confirmed by carotid angiogram (F igu re 2)." @default.
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- W2015392968 title "A case report of carotid artery dissection presenting as cluster headache" @default.
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- W2015392968 doi "https://doi.org/10.1016/s0002-9343(97)80025-3" @default.
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