• J Emerg Med · Jul 2011

    Review Case Reports

    Horner syndrome due to carotid dissection.

    • Patrick M Flaherty and Joseph M Flynn.
    • Department of Emergency Medicine, Mt. Clemens Regional Medical Center, Mt. Clemens, Michigan 48043, USA.
    • J Emerg Med. 2011 Jul 1; 41 (1): 434643-6.

    BackgroundInternal carotid artery dissection typically presents with a clear history of blunt cranial-cervical trauma. Presenting symptoms include headache, focal cerebral ischemic symptoms, and oculosympathetic paresis (Horner syndrome). It is usually thought that internal carotid dissection is a serious but infrequent cause of Horner syndrome.ObjectiveA review of the literature reveals that carotid dissection is under-recognized as a cause of Horner syndrome, and outcome is thought to be compromised by diagnostic delay.Case ReportThis case report describes a patient who presented to the Emergency Department with a traumatic Horner syndrome caused by internal carotid dissection.SummaryThe etiology, clinical manifestations, diagnostic evaluation, and treatment options of carotid dissection are discussed.Copyright © 2011 Elsevier Inc. All rights reserved.

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