Horner's Syndrome in Subadventitial Carotid Artery Dissection and the Role of Magnetic Resonance Angiography

• Published in: American journal of ophthalmology Vol. 119; no. 6; pp. 811 - 813
• Main Authors: Brown, Jeremiah, Danielson, Robert, Donahue, Sean P., Thompson, H. Stanley
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.06.1995; Elsevier
• Subjects: Aneurysm, Dissecting - complications; Aneurysm, Dissecting - diagnosis; Biological and medical sciences; Carotid Artery Diseases - complications; Carotid Artery Diseases - diagnosis; Carotid Artery, Internal - diagnostic imaging; Carotid Artery, Internal - pathology; Facial Pain - diagnosis; Facial Pain - etiology; Horner Syndrome - complications; Horner Syndrome - diagnosis; Humans; Magnetic Resonance Angiography; Male; Medical sciences; Middle Aged; Oculomotor disorders; Ophthalmology; Radiography; Human; Nervous system diseases; Cardiovascular disease; Nuclear magnetic resonance imaging; Arterial disease; Vascular disease; Case study; Eye disease; Carotid; Diseases of the autonomic nervous system; Tissue rupture; Ophthalmoplegia; Claude Bernard Horner syndrome; Neck; Diagnosis; Oculomotor syndrome
• ISSN: 0002-9394; 1879-1891
• DOI: 10.1016/S0002-9394(14)72797-7

A 47-year-old man with a postganglionic Horner's syndrome and severe right facial pain was found to have a normal carotid angiogram. We obtained a magnetic resonance angiogram of the neck because of our continued clinical suspicion of dissection. An area of hyperintensity was identified along the lumen of the right internal carotid artery, suggesting a subadventitial dissection. Magnetic resonance angiography is a noninvasive, sensitive technique for identifying some carotid dissections.