{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T19:02:55Z","timestamp":1757703775394},"reference-count":6,"publisher":"California Digital Library (CDL)","issue":"2","license":[{"start":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T00:00:00Z","timestamp":1586822400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Carotid artery dissection (CAD) is a critical diagnosis in the emergency department (ED). Trigeminal neuralgia, while not uncommon, may cause the patient significant discomfort but generally is not attributed to severe morbidity and mortality. \n\nCase Report: We present a case of spontaneous CAD presenting with the classic intermittent \u201clightning-like\u201d jaw and head pain suggestive of trigeminal neuralgia that was ultimately diagnosed utilizing computed tomography angiogram after multiple visits to the ED. \n\nDiscussion: Coincidentally the patient had been started on anticoagulation a few days prior and no additional intervention was required. \n\nConclusion: This case report discusses current recommendations for diagnosis, treatment, and long-term prognosis of CAD.<\/jats:p>","DOI":"10.5811\/cpcem.2020.1.44664","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T22:23:41Z","timestamp":1588717421000},"page":"255-258","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department"],"prefix":"10.5811","volume":"4","author":[{"given":"Robert","family":"Look","sequence":"first","affiliation":[{"name":"Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Terlau","sequence":"additional","affiliation":[{"name":"Midwestern University, Chicago College of Osteopathic Medicine, Downers Grove, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Misek","sequence":"additional","affiliation":[{"name":"Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois; Midwestern University, Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,4,14]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Lee VH, Brown RD, Mandrekar JN, et al. Incidence and outcome of cervical artery dissection: a population-based study. Neurology. 2006;67(10):1809-12.","DOI":"10.1212\/01.wnl.0000244486.30455.71"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Debette S and Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol. 2009;8(7):668-78.","DOI":"10.1016\/s1474-4422(09)70084-5"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. New Engl J Med. 2001;344(12):898-906.","DOI":"10.1056\/nejm200103223441206"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Gallerini S, Marsili L, Bartalucci M, et al. Headache secondary to cervical artery dissections: practice pointers. Neurol Sci. 2019;40(3):613-5.","DOI":"10.1007\/s10072-018-3576-y"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Arnold M, Cumurciuc R, Stapf C, et al. Pain as the only symptom of cervical artery dissection. J Neurol Neurosurg Psychiatry. 2006;77(9):1021-4.","DOI":"10.1136\/jnnp.2006.094359"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Lau JT, Hunt JS, Bruner DI, et al. Cervical artery dissection and choosing appropriate therapy. Clin Pract Cases Emerg Med. 2017;1(3):225-8.","DOI":"10.5811\/cpcem.2017.3.33296"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T20:41:11Z","timestamp":1595277671000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/55z37345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,14]]},"references-count":6,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,1]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.1.44664","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,4,14]]}}}