Head pain is one of the main presenting symptoms of internal carotid artery (ICA) dissection, us association with ischemic and/or local signs such as Homer's syndrome, lower cranial nerve pal tinnitus. In rare cases, head pain remains isolated and mimics other conditions. We report a patie suffered isolated prolonged orbital pain as the only sign of intrapetrous ICA dissection. Early recog such unusual facial pain may be crucial in decreasing the risk of secondary cerebral or retinal ische
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