Transient migraine-like symptoms with internal carotid artery dissection

Isaac E. Silverman, Robert J. Wityk

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


We report three patients with angiographically confirmed internal carotid artery (ICA) dissection who presented with transient symptoms resembling migraine with aura. Marching impairments from one modality to another preceded recognition of the diagnosis of dissection and were not associated with clinical or radiologic evidence of cerebral infarction. We review the clinical patterns in which ICA dissection may be identified in the setting of migrainous symptoms, given the different therapeutic approaches to migraine and dissection and the non-invasive means to diagnose dissection with magnetic resonance imaging (MRI). We offer mechanisms for recurrent neurologic symptoms in patients with ICA dissection.

Original languageEnglish (US)
Pages (from-to)116-120
Number of pages5
JournalClinical Neurology and Neurosurgery
Issue number2
StatePublished - Jun 1998
Externally publishedYes


  • Cervical artery dissection
  • Internal carotid artery
  • Migraine with aura
  • Symptomatic migraine
  • Transient ischemic attack

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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