In our case recurrent transient ischemic manifestations were undoubtedly due to internal carotid artery dissection. Nevertheless, the same case history could be explained by paradoxical embolism. Oral anticoagulant therapy is currently recommended for TIA and ischemic stroke due to both causes. On the other hand, the duration of oral anticoagulant therapy remains controversial, since discontinuing it after 6 months is recommended only for internal carotid artery dissection.
A challenging multifactorial migraine with aura / Naldi, Luca; De Stefano, Margherita; Berni, Andrea; Torri, Marco; Poggesi, Loredana. - In: INTERNAL AND EMERGENCY MEDICINE. - ISSN 1828-0447. - STAMPA. - 9:(2014), pp. 201-205. [10.1007/s11739-013-1038-3]
A challenging multifactorial migraine with aura
NALDI, LUCA;BERNI, ANDREA;POGGESI, LOREDANA
2014
Abstract
In our case recurrent transient ischemic manifestations were undoubtedly due to internal carotid artery dissection. Nevertheless, the same case history could be explained by paradoxical embolism. Oral anticoagulant therapy is currently recommended for TIA and ischemic stroke due to both causes. On the other hand, the duration of oral anticoagulant therapy remains controversial, since discontinuing it after 6 months is recommended only for internal carotid artery dissection.
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