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Cervical cord and dorsal medullary infarction presenting with retro-orbital pain

From the Services de Neurologie (Dr. de la Sayette), Neuroradiologie (Dr. Leproux), and Médecine Interne (Dr. Letellier), CHU Côte de Nacre, Caen, France.

Address correspondence and reprint requests to Dr. V. de la Sayette, Service de Neurologie, CHU Côte de Nacre, F14033 Caen, Cedex, France.

A 36-year-old woman experienced an excruciating right retro-orbital paroxysmal headache after a stroke of the anterior two-thirds of the right hemicord at the C1 level (anterior spinal artery territory) and the dorsal medulla (posterior spinal artery territory). A right vertebral artery dissection was demonstrated. This unusual infarct mimicked a cluster headache attack or paroxysmal hemicrania.

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