Horner syndrome as a manifestation of carotid artery dissection

• Published in: Archivos de la Sociedad Española de Oftalmología (English ed.) Vol. 86; no. 11; pp. 377 - 379
• Main Authors: Rohrweck, S, España-Gregori, E, Gené-Sampedro, A, Pascual-Lozano, A.M, Aparici-Robles, F, Díaz-Llopis, M
• Format: Journal Article
• Language: English
• Published: Elsevier España 01.11.2011
• Subjects: Carotid artery, internal, dissection/complications; Carotid artery, internal, dissection/diagnosis; Cefalea/etiología; Disección arteria carótida interna/complicaciones; Disección arteria carótida interna/diagnóstico; Headache/aetiology; Horner syndrome/pathophysiology; Oftalmoplejia simpática; Ophthalmology; Sympathetic ocular-ophthalmoplegia; Síndrome de Horner/fisiopatología; Síndrome de Horner/fisiopatología; Disección arteria carótida interna/diagnóstico; Cefalea/etiología; Carotid artery, internal, dissection/diagnosis; Carotid artery, internal, dissection/complications; Disección arteria carótida interna/complicaciones; Oftalmoplejia simpática; Horner syndrome/pathophysiology; Headache/aetiology; Sympathetic ocular-ophthalmoplegia
• ISSN: 2173-5794; 2173-5794
• DOI: 10.1016/j.oftale.2011.06.003

Abstract Clinical case A 42-year-old man presented with ptosis and miosis in his left eye and a history of headache over the last 20 days. An angioresonance showed dissection of internal carotid artery. Discussion “Painful Horner's Syndrome” is considered to be a medical emergency due possible onset of an internal carotid artery dissection. We consider that awareness of neuro-ophthalmologic emergencies is very important in the clinical praxis of an ophthalmologist. Multidisciplinary treatment and follow-up of these patients are required.