scholarly journals Horner's syndrome and ipsilateral tongue paresis due to carotid artery dissection

2009 ◽  
Vol 2009 (feb16 1) ◽  
pp. bcr2006100792-bcr2006100792
Author(s):  
C. Tijssen ◽  
W. Jan van Rooij
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Horner's Syndrome

scholarly journals Horner's Syndrome Secondary to Angiogram Negative, Subadventitial Carotid Artery Dissection

1993 ◽  
Vol 20 (1) ◽  
pp. 62-64 ◽  
Author(s):  
M. Assaf ◽  
P.J. Sweeney ◽  
G. Kosmorsky ◽  
T. Masaryk
Keyword(s):  
Carotid Artery ◽  
Acute Onset ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Mri Imaging ◽  
Horner's Syndrome ◽  
Subsequent Investigation ◽  
Left Neck ◽  
Invasive Method

ABSTRACT:A 59-year-old man presented with the acute onset of paresthesias and pain in the left neck, face, and forehead. On subsequent investigation he was found to have a subadventitial type of carotid artery dissection, producing an ipsilateral Horner's syndrome with normal carotid angiography. MRI imaging of the neck structures, using fat saturation technique, showed the subadventitial dissection, sparing the vessel lumen. MRI offers a non-invasive method of diagnosis and follow-up for carotid artery dissection.

scholarly journals Isolated Middle-Third Clavicle Fracture Causing Horner's Syndrome: A Case Report and Literature Review

2021 ◽  
Vol 8 ◽  
Author(s):  
Chia-Yu Lin ◽  
Hao-Wei Chang ◽  
Yu-Hsuan Chang ◽  
I-Hao Lin ◽  
Hung-Yu Huang ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Carotid Artery ◽  
Clavicle Fracture ◽  
Carotid Artery Dissection ◽  
Spine Injury ◽  
Radiographic Examination ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Left Shoulder ◽  
Horner's Syndrome

The pathophysiology of Horner's syndrome arises due to compression or destruction of the oculosympathetic nerve pathway. Traumatic Horner's syndrome may indicate lethal neurovascular injury, such as brain stem lesion, cervical spine injury, or carotid artery dissection. The middle-third is the most common type of clavicle fracture. However, the association of the isolated middle-third clavicle fracture and Horner's syndrome is rare. We report the case of a 47 year-old woman who presented to our emergency department with acute trauma. Severe tenderness and limited mobility were observed in her left shoulder. On radiographic examination, a middle-third clavicle fracture was diagnosed. Ptosis and myosis were also noticed on further examination, and she was subsequently diagnosed with Horner's syndrome. A survey of the brain, cervical spine, carotid artery, and lung revealed no pathological findings. Surgery for the clavicle fracture was performed 2 days after the accident. The patient recovered from Horner's syndrome gradually over the 2 months following the surgery, and the syndrome completely resolved by the third month. To the best of our knowledge, this is the first report of traumatic Horner's syndrome caused by an isolated middle-third clavicle fracture. The improved outcome may be attributed to the surgical intervention for middle-third clavicle fracture, which may help release ganglion or neuronal compression.

scholarly journals Horner's syndrome after blunt cervical and chest trauma: case report

2007 ◽  
Vol 65 (4a) ◽  
pp. 1037-1039 ◽  
Author(s):  
Wellingson Silva Paiva ◽  
Robson Luis Oliveira De Amorim ◽  
Wagner Malago Tavares ◽  
Eduardo Joaquim Lopes Alho ◽  
Brasil Ping Jeng ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Trauma Patients ◽  
Horner's Syndrome ◽  
Correct Treatment ◽  
Left Apex ◽  
Trauma Case ◽  
The Right

Horner‘s syndrome is the triad of miosis, ptosis, and anhidrosis, resulting from disruption of the sympathetic pathways. This article describes an uncommon case of Horner‘s syndrome in a 22-year-old man after blunt trauma to the neck and chest without carotid artery dissection. The patient was brought to the emergency service after motorcycle fall. Neurologic examination revealed a patient presenting the score 15 at Glasgow Coma Scale. The left eyelid was 1-2 mm lower than the right. Carotid Doppler and angiotomography were undertaken and revealed no abnormalities of the carotid artery. CT disclosed a mediastinal hematoma extending to the left apex, compressing the left sympathetic chain. The understanding of this clinical entity may help the surgeon to make a better differential diagnosis in trauma patients in whom prompt diagnosis is critical to stablish the correct treatment.

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.

Painful Horner's Syndrome Due to Spontaneous Carotid Artery Dissection

Ophthalmology ◽  
1987 ◽  
Vol 94 (3) ◽  
pp. 226-230 ◽  
Author(s):  
Lanninc B. Kline ◽  
Jiri J. Vitek ◽  
Bruce C. Raymon
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Horner's Syndrome

Use of flow diverter stent for treatment of a cervical carotid artery dissection and pseudoaneurysm causing Horner’s syndrome

2021 ◽  
Vol 14 (5) ◽  
pp. e241156
Author(s):  
Narlin Beaty ◽  
Monisha Patel ◽  
Christian Martinez ◽  
Lutheria Hollis
Keyword(s):  
Carotid Artery ◽  
Flow Diverter ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Horner's Syndrome ◽  
Cross Sectional ◽  
Luminal Narrowing ◽  
Flow Diverter Stent ◽  
Cross Sectional Imaging

A 28-year-old man in 2004 was identified with a spontaneous pseudoaneurysm and distal left cervical internal carotid artery (ICA) dissection. The patient was followed conservatively for 12 years with cross-sectional imaging. The patient was initially diagnosed with an acute left ICA dissection, with significant luminal narrowing. Follow-up imaging revealed the dissection was not completely healed, and a small pseudoaneurysm, about 4 mm in size, was formed in the distal left cervical ICA. During the 12-year observation period, the patient’s pseudoaneurysm expanded from 4.0 mm to 9.0 mm, and the patient presented with ptosis, anisocoria and myosis. Flow diverter embolisation resulted in a radiographic cure of the pseudoaneurysm and resolution of Horner’s syndrome.

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