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Horner's Syndrome Secondary to Angiogram Negative, Subadventitial Carotid Artery Dissection

Published online by Cambridge University Press:  18 September 2015

M. Assaf ,
P.J. Sweeney ,
G. Kosmorsky  and
T. Masaryk
M. Assaf*
Affiliation:
Departments of Neurology (M.A., P.J.S., G.K.), Ophthalmology (G.K.), Radiology (T.M.), The Cleveland Clinic Foundation, Cleveland, U.S.A.
P.J. Sweeney
Affiliation:
Departments of Neurology (M.A., P.J.S., G.K.), Ophthalmology (G.K.), Radiology (T.M.), The Cleveland Clinic Foundation, Cleveland, U.S.A.
G. Kosmorsky
Affiliation:
Departments of Neurology (M.A., P.J.S., G.K.), Ophthalmology (G.K.), Radiology (T.M.), The Cleveland Clinic Foundation, Cleveland, U.S.A.
T. Masaryk
Affiliation:
Departments of Neurology (M.A., P.J.S., G.K.), Ophthalmology (G.K.), Radiology (T.M.), The Cleveland Clinic Foundation, Cleveland, U.S.A.
*
The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, Ohio, U.S.A. 44195-5223
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Abstract:

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A 59-year-old man presented with the acute onset of paresthesias and pain in the left neck, face, and forehead. On subsequent investigation he was found to have a subadventitial type of carotid artery dissection, producing an ipsilateral Horner's syndrome with normal carotid angiography. MRI imaging of the neck structures, using fat saturation technique, showed the subadventitial dissection, sparing the vessel lumen. MRI offers a non-invasive method of diagnosis and follow-up for carotid artery dissection.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 20 , Issue 1 , February 1993 , pp. 62 - 64
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

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