| Horner syndrome related to ipsilateral carotid wall hematoma after stent placement for the treatment of carotid stenoses. | |
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MedLine Citation:
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PMID: 13679260 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: We prospectively studied the incidence and natural history of Horner syndrome following stent-supported percutaneous angioplasty of the carotid artery (SPAC). We assessed the hypothesis that postinterventional Horner syndrome is related to ipsilateral carotid wall hematoma. METHODS: We performed duplex sonography of the carotid arteries and clinical examination in 28 consecutive patients before and 4 hours +/- 2, 24 hours +/- 2, and 7 days +/- 1 after SPAC. RESULTS: Within 24 hours +/- 2 after SPAC, 11 of the 28 patients developed ipsilateral Horner syndrome. Ten of these 11 patients had a postinterventional sonographic appearance of a carotid wall hematoma, whereas only two of the 17 patients without Horner syndrome had this finding (P <.001). In all patients, both Horner syndrome and carotid wall hematoma had resolved 7 days +/- 1 after SPAC. CONCLUSION: Horner syndrome appears to be a common yet transient event after SPAC. Although postinterventional Horner syndrome is significantly related to ipsilateral carotid wall hematoma, causality of the procedure-related formation of a carotid wall hematoma and oculosympathetic disturbance remains unproven. |
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Authors:
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Michael Rosenkranz; Bernd Eckert; Wolf-Dirk Niesen; Cornelius Weiller; Ulrich Sliwka |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJNR. American journal of neuroradiology Volume: 24 ISSN: 0195-6108 ISO Abbreviation: AJNR Am J Neuroradiol Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-09-18 Completed Date: 2004-01-08 Revised Date: 2008-02-14 |
Medline Journal Info:
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Nlm Unique ID: 8003708 Medline TA: AJNR Am J Neuroradiol Country: United States |
Other Details:
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Languages: eng Pagination: 1508-11 Citation Subset: IM |
Affiliation:
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Department of Neurology, Universitaetsklinikum Hamburg-Eppendorf, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Balloon / adverse effects* Carotid Artery Injuries / etiology*, ultrasonography Carotid Artery, Internal / ultrasonography* Carotid Stenosis / therapy*, ultrasonography Female Follow-Up Studies Functional Laterality / physiology Hematoma / etiology*, ultrasonography Horner Syndrome / etiology*, ultrasonography Humans Male Middle Aged Muscle, Smooth, Vascular / injuries*, ultrasonography Prospective Studies Sensitivity and Specificity Stents / adverse effects* Ultrasonography, Doppler, Duplex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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