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Triple or quadruple vessel CAD is seldom reported in the absence of trauma. Clinicians should be aware of CAD, and the extent to which it can occur, while appreciating the importance of good clinical examination and appropriate imaging in such cases. Correct characterisation of eye movements is key.<\/jats:p>","DOI":"10.1136\/bcr-2024-260089","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T03:26:54Z","timestamp":1732678014000},"page":"e260089","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Simultaneous, spontaneous and multivessel cervical artery dissection presenting with headache and vertigo"],"prefix":"10.1136","volume":"17","author":[{"given":"David Matthew","family":"Jenkins","sequence":"first","affiliation":[{"name":"Emergency Department, Portsmouth Hospitals University NHS Trust, Portsmouth, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2819-6060","authenticated-orcid":false,"given":"Jake","family":"Cowen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Portsmouth Hospitals University NHS Trust, Portsmouth, 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