Horner syndrome as an isolated manifestation of an intrapetrous internal carotid artery dissection

Am J Ophthalmol. 1997 Apr;123(4):562-4. doi: 10.1016/s0002-9394(14)70191-6.

Abstract

Purpose: To describe the atypical localization and unusual clinical manifestation of an internal carotid artery dissection.

Methods: We examined a 43-year-old woman who had sudden onset of left ptosis and miosis with vague dysesthesia around her eye.

Results: Her examination showed an intrapetrous carotid artery dissection.

Conclusions: The intrapetrous segment is an extremely rare localization for an internal carotid artery dissection. The differential diagnosis of acute Horner syndrome should include carotid dissection, which is usually accompanied by other neurologic manifestations.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use
  • Aortic Dissection / complications
  • Aortic Dissection / diagnosis*
  • Aortic Dissection / drug therapy
  • Blepharoptosis / diagnosis
  • Blepharoptosis / etiology
  • Carotid Artery Diseases / complications
  • Carotid Artery Diseases / diagnosis*
  • Carotid Artery Diseases / drug therapy
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / pathology
  • Cerebral Angiography
  • Diagnosis, Differential
  • Female
  • Heparin / therapeutic use
  • Horner Syndrome / diagnosis*
  • Horner Syndrome / drug therapy
  • Horner Syndrome / etiology
  • Humans
  • Petrous Bone
  • Warfarin / therapeutic use

Substances

  • Anticoagulants
  • Warfarin
  • Heparin