{"pk":808,"title":"Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department","subtitle":null,"abstract":"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.\nCase Report: We present a case of spontaneous CAD presenting with the classic intermittent “lightning-like” jaw and head pain suggestive of trigeminal neuralgia that was ultimately diagnosed utilizing computed tomography angiogram after multiple visits to the ED.\nDiscussion: Coincidentally the patient had been started on anticoagulation a few days prior and no additional intervention was required.\nConclusion: This case report discusses current recommendations for diagnosis, treatment, and long-term prognosis of CAD.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Carotid Artery Dissection"},{"word":"Trigeminal Neuralgia"}],"section":"ACOEP Case Reports (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/55z37345","frozenauthors":[{"first_name":"Robert","middle_name":"","last_name":"Look","name_suffix":"","institution":"Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois","department":"None"},{"first_name":"Thomas","middle_name":"J.","last_name":"Terlau","name_suffix":"","institution":"Midwestern University, Chicago College of Osteopathic Medicine, Downers Grove, Illinois","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Misek","name_suffix":"","institution":"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","department":"None"}],"date_submitted":"2020-04-14T22:01:30Z","date_accepted":"2020-04-14T22:01:30Z","date_published":"2020-04-14T22:02:25Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/808/galley/561/download/"}]}