Document Detail


Isolated Horner's syndrome caused by intraoral gunshot.
MedLine Citation:
PMID:  17130586     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 45-year-old man developed Horner's syndrome after sustaining an intraoral gunshot in a suicide attempt. Examination did not show any major vascular injury or other neurological symptoms. Radiograph of the skull and helical computed tomography angiography of the brain and neck detected a bullet embedded in the interior of the left internal carotid artery (ICA) sheath. Surgical examination showed an intact left ICA. Horner's syndrome resulting from intraoral trauma rarely presents as an isolated sign and is generally associated with carotid injuries. It may herald a life-threatening artery injury and needs urgent investigation.
Authors:
R Toledano; J Corres; A Culebras; E Riva; J Masjuán
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  23     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-28     Completed Date:  2006-12-26     Revised Date:  2010-09-14    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  e65     Citation Subset:  IM    
Affiliation:
Department of Neurology, Hospital Ramón y Cajal, Madrid, Spain. rafatoledano@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Carotid Artery Injuries / complications,  radiography
Carotid Artery, Internal / radiography
Foreign Bodies / complications,  radiography
Horner Syndrome / etiology*
Humans
Male
Middle Aged
Mouth / injuries*
Tomography, X-Ray Computed
Wounds, Gunshot / complications*
Comments/Corrections

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