| Agenesis of internal carotid artery in a child with ipsilateral Horner's syndrome. | |
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MedLine Citation:
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PMID: 19168824 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Horner's syndrome is characterized by a classic triad of ipsilateral pupillary miosis, partial eyelid ptosis, and facial anhydrosis. This case study reports a 7-year-old boy with right miosis, mild blepharoptosis, and iris hypopigmentation detected in a routine pediatric follow-up without ipsilateral facial anhydrosis, flushing, or pain. There was no history of birth trauma and test with cocaine provoked no response of the right pupil, suggesting right Horner's syndrome. Mediastinal tumor was ruled out and brain magnetic resonance imaging incidentally showed absence of flow in the right internal carotid artery. Subsequent magnetic resonance angiography demonstrated agenesis of the right internal carotid artery without other vascular-associated malformations. The final diagnosis was right, congenital Horner's syndrome due to ipsilateral internal carotid agenesis. We describe in detail the radiological findings and pathophysiological mechanisms of this unusual association. |
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Authors:
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Carmen Fons; Monica Vasconcelos; Mariona Vidal; Ramón Puy; Antonio Capdevila; Laia Sanchez; Jaime Campistol |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Journal of child neurology Volume: 24 ISSN: 1708-8283 ISO Abbreviation: J. Child Neurol. Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-01-26 Completed Date: 2009-09-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8606714 Medline TA: J Child Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 101-4 Citation Subset: IM |
Affiliation:
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Department of Child Neurology, Hospital Sant Joan de Déu for Children, University of Barcelona, Barcelona, Spain. cfons@hsjdbcn.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Carotid Artery Diseases
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congenital* Carotid Artery, Internal / abnormalities*, pathology Functional Laterality / physiology* Horner Syndrome / congenital*, diagnosis Humans Magnetic Resonance Angiography / methods Magnetic Resonance Imaging / methods Male Tomography, X-Ray Computed / methods Young Adult |
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