Headache as only symptom in multiple cervical artery dissection

We describe a patient with atypical headache as the only presenting symptom of spontaneous triple cervical artery dissection. As the patient suffered from arterial hypertension, a causative relation between headache and arter ial hypertension was initially taken into consideration. However, four-vess el arteriography disclosed a dissection of both internal carotid arteries a nd the right vertebral artery. This unique case highlights the value of conventional arteriography for dia gnosing cervical artery dissection. Since multiple cervical artery dissecti ons are not rare, all cervical arteries should be examined by means of conv entional arteriography when a dissection is suspected.