Lateral medullary infarction secondary to vertebral artery dissection presenting as a trigeminal autonomic cephalalgia

Headache. 2004 Jan;44(1):70-4. doi: 10.1111/j.1526-4610.2004.04012.x.


A 51-year-old woman had an attack of severe hemifacial pain with autonomic features as the presenting symptom of a lateral medullary infarction. A bilateral vertebral artery dissection was demonstrated. The existence of secondary cases may lead to a better understanding of the pathophysiology of trigeminal autonomic cephalalgias.

Publication types

  • Case Reports

MeSH terms

  • Autonomic Nervous System Diseases / etiology
  • Female
  • Headache / etiology*
  • Humans
  • Lateral Medullary Syndrome / etiology*
  • Middle Aged
  • Trigeminal Nerve Diseases / etiology
  • Vertebral Artery Dissection / complications*