Document Detail


Carotid dissection: a common cause of Horner's syndrome.
MedLine Citation:
PMID:  11778813     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To highlight that internal carotid artery dissection is a common cause of Horner's syndrome and that it is important to diagnose dissection as anticoagulation can prevent carotid thrombosis and embolism. METHODS: Five case reports are presented of patients with Horner's syndrome secondary to carotid dissection. One patient had carotid dissection secondary to trauma, two had spontaneous dissections and two had dissections in the settings of other illness. A literature search was performed on carotid dissection as a cause of Horner's syndrome and its diagnosis and management. RESULTS: The case reports and literature highlight that dissection is under-recognized as a cause of Horner's syndrome and can be missed. The investigation of choice is a magnetic resonance imaging and angiography scan of the head and neck. The treatment advocated is anticoagulation for 3-6 months. CONCLUSION: Carotid dissection should be suspected in patients with Horner's syndrome, particularly if head or neck pain is present.
Authors:
C C Chan; M Paine; J O'Day
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  29     ISSN:  1442-6404     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-01-07     Completed Date:  2002-05-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  411-5     Citation Subset:  IM    
Affiliation:
Department of Neuro-Ophthalmology, The Royal Victorian Eye and Ear Hospital, East Melbourne, Australia. chunkeng@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / therapeutic use
Carotid Artery, Internal / pathology
Carotid Artery, Internal, Dissection / complications*,  diagnosis,  drug therapy
Female
Horner Syndrome / diagnosis,  drug therapy,  etiology*
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Middle Aged
Neck Pain / diagnosis
Visual Acuity
Warfarin / therapeutic use
Chemical
Reg. No./Substance:
0/Anticoagulants; 81-81-2/Warfarin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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