History And Physical Examination
In any patient presenting with headache or neck pain, a detailed history should be obtained to assess for cervical artery dissection risk factors, including a history of recent trauma, participation in higher-risk activities, intense sneezing or coughing, spine manipulation, or any personal or family history of collagen disease. Ask about symptoms suggestive of dissection, including neck pain or headache, pulsatile tinnitus, decreased taste sensation, or new neurological deficits. Perform a full neurological examination of the cranial nerves; motor, sensory, and gait assessment; and assessment for cerebellar signs.
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