Brief, transient Horner's syndrome can be the hallmark of a carotid artery dissection

Neurology
E C LeiraH P Adams

Abstract

We describe a 41-year-old woman in whom the diagnosis of carotid artery dissection was suspected based on a recent history of anisocoria and ipsilateral ptosis that lasted 2 days. She had a normal neurologic examination, including no clinical evidence of anisocoria or ptosis. Subsequently, a cocaine test demonstrated pharmacologic Horner's syndrome. MRI confirmed the carotid dissection. This patient illustrates that a history of transient pupillary and eyelid abnormalities can lead to the diagnosis of a carotid dissection. Specific questioning about transient anisocoria and ptosis should be considered when a carotid artery dissection is suspected. Pharmacologic testing may be a useful tool in such instances.

References

Jan 1, 1986·Annals of Neurology·P J Whitehouse
Feb 1, 1994·Cephalalgia : an International Journal of Headache·N M Ramadan

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Citations

Aug 12, 2009·Current Neurology and Neuroscience Reports·Mansoor Mughal, Reid Longmuir
Mar 10, 2001·Journal of the Neurological Sciences·D GuidettiA Troiso
Mar 12, 2002·Acta Neurologica Scandinavica·M ReuberJ M Bamford
Apr 12, 2001·Cephalalgia : an International Journal of Headache·S Solomon, J P Lustig
Mar 5, 2003·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Mark L MosterWilliam Garfinkle
Feb 26, 2010·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Jonathan D Trobe
Jul 9, 2010·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Krishnamoorthy NarayananRanjeet J Pandit
Mar 25, 2006·British Journal of Sports Medicine·D J M Macdonald, E C A McKillop
Apr 25, 2000·Annual Review of Medicine·C StapfJ P Mohr
Dec 16, 2003·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Michael D Hill
Apr 13, 2012·Wilderness & Environmental Medicine·Roy E StrowdFrancis O Walker
May 10, 2008·Neuroimaging Clinics of North America·Deborah L ReedeRandy Kardon
May 6, 2008·The Journal of Emergency Medicine·Christophe OrssaudJean Louis Dufier
May 11, 2000·Journal of Vascular Surgery·B T MüllerW Sandmann
May 4, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R R SinghD Bouchier Hayes
Mar 17, 2001·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·D Epley
Feb 8, 2000·Current Opinion in Ophthalmology·A Kawasaki
Feb 16, 2020·Military Medicine·Jeffrey C Teixeira, Paula J Jackson
Jan 10, 2002·Clinical & Experimental Ophthalmology·C C ChanJ O'Day
Aug 28, 2003·Headache·Susanna FrigerioMatthias Sturzenegger

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