Headache: an unusual presentation of aortic dissection.

  title={Headache: an unusual presentation of aortic dissection.},
  author={Sukhvinder Singh and John Yen-Han Huang and Kenny Yoong Koong Sin and Rabind Antony Charles},
  journal={European journal of emergency medicine : official journal of the European Society for Emergency Medicine},
  volume={14 1},
The most common presenting symptom of aortic dissection is chest pain - headache as the initial manifestation is rare. We report a patient with a history of hypertension who presented with severe bifrontal headache, and was found to have an acute aortic dissection in the absence of carotid artery dissection. A discussion of the atypical presentation and possible pathophysiology follows. 

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