Doukhi Diana, Debette Stéphanie, Mawet Jérome
Emergency Headache Center (Centre d'Urgences Céphalées), Department of Neurology, Lariboisière Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France.
FHU NeuroVasc, Paris, France.
J Headache Pain. 2025 Feb 6;26(1):28. doi: 10.1186/s10194-025-01958-9.
Headache is a common neurological symptom, often leading to the investigation of secondary causes, including cerebrovascular conditions such as cranial and cervical artery dissection (CCAD). CCAD, a significant cause of stroke in younger adults, commonly presents with headache or neck pain, isolated or accompanied by neurological deficits, and may mimic primary headache disorders, complicating timely diagnosis. This review explores the role of headache in CCAD, specifically addressing headache as an initial presentation, its evolution post-dissection, and as a potential risk factor of CCAD. By synthesizing current evidence, the review aims to improve early detection and clinical management of CCAD in headache patients.
头痛是一种常见的神经症状,常常需要对继发性病因进行检查,这些病因包括脑血管疾病,如颅颈动脉夹层(CCAD)。CCAD是年轻成年人中风的一个重要病因,通常表现为头痛或颈部疼痛,可为孤立性或伴有神经功能缺损,并且可能酷似原发性头痛疾病,从而使及时诊断变得复杂。本综述探讨头痛在CCAD中的作用,特别关注头痛作为初始表现、夹层形成后的演变以及作为CCAD的潜在危险因素。通过综合现有证据,本综述旨在改善头痛患者中CCAD的早期检测和临床管理。