Delayed recognition of Horner syndrome secondary to internal carotid artery dissection after scuba diving

2017 ◽  
Vol 45 (5) ◽  
pp. 551-553
Author(s):  
Martin Wasik ◽  
Christopher Stewart ◽  
Jonathan H Norris
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Scuba Diving ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Horner Syndrome ◽  
Delayed Recognition

scholarly journals Anterior Choroidal Artery Territory Infarction due to Internal Carotid Artery Dissection Presumably Caused by Scuba Diving

2020 ◽  
Vol 38 (4) ◽  
pp. 298-300
Author(s):  
Daeun Shin ◽  
Yang-Ha Hwang ◽  
Dong-Hyun Shim
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Scuba Diving ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Anterior Choroidal Artery ◽  
Internal Carotid Artery Dissection ◽  
Anterior Choroidal ◽  
Choroidal Artery

We report a case of anterior choroidal artery territory infarction due to internal carotid artery dissection presumably caused by scuba diving. A 44-year-old man presented with left facial palsy and hemiparesis. He had a history of scuba diving for 18 months. His last dive was 7 days ago, and he skipped decompression practice at that dive. We assumed that repetitive traumas and microbubbles during scuba diving, which made endothelium vulnerable to damage may have caused a carotid dissection.

Horner Syndrome

2019 ◽  
pp. 193-198
Author(s):  
Matthew J. Thurtell ◽  
Robert L. Tomsak
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Clinical Features ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Diagnostic Evaluation ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Horner Syndrome

Horner syndrome can be caused by a lesion anywhere along the oculosympathetic pathway. Although there may be other signs that help with localization of the lesion, the syndrome often occurs in isolation. In this chapter, we begin by reviewing the anatomy of the oculosympathetic pathway. We next describe the clinical features of Horner syndrome, which include ipsilateral miosis and eyelid ptosis. We then discuss the role and potential pitfalls of pharmacologic pupil testing in the diagnostic evaluation of Horner syndrome. We review the potential causes for Horner syndrome, with a focus on causes for acute isolated painful Horner syndrome, such as internal carotid artery dissection. Lastly, we discuss the workup, management, and potential complications of internal carotid artery dissection.

Horner Syndrome Due To Internal Carotid Artery Dissection With Normal Vascular Imaging

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sasha A. Mansukhani ◽  
Laurence J. Eckel ◽  
Kristi Y. Wu ◽  
Mohamed B. Hassan ◽  
Jon A. Van Loon ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Vascular Imaging ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Horner Syndrome

scholarly journals Horner’s Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Jose Enrique Alonso Formento ◽  
Jose Luis Fernández Reyes ◽  
Blanca Mar Envid Lázaro ◽  
Teresa Fernández Letamendi ◽  
Ryth Yeste Martín ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Deep Sea ◽  
Internal Carotid ◽  
Scuba Diving ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Horner's Syndrome

Internal carotid artery dissection (ICAD) is a rare entity that either results from traumatic injury or can be spontaneously preceded or not by a minor trauma such as sporting activities. It represents a major cause of stroke in young patients. The diagnosis should be suspected with the combination of Horner’s syndrome, headache or neck pain, and retinal or cerebral ischaemia. The confirmation is frequently made with a magnetic resonance angiography (MRA). Although anticoagulation with heparin followed by vitamin-K-antagonists is the most common treatment, there is no difference in efficacy of antiplatelet and anticoagulant drugs at preventing stroke and death in patients with symptomatic carotid dissection. We describe a patient with ICAD following deep sea scuba diving, who presented with Horner’s syndrome and neck pain and was successfully treated with anticoagulants.

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