Carotid artery dissection can also cause pain in the neck. This condition occurs due to a tear in the artery, sometimes due to an injury. It is a medical emergency and can lead to a stroke.

A murmur of aortic regurgitation can occur if the aortic root is dilated from the dissection. Neurologic deficits can be seen if the carotid artery is involved or if spinal ischemia is present.