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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*
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
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

References

1.Hart, RG, Easton, D.Dissection of cervical and cerebral arteries. Neurol Clin 1983; 5: 155182.CrossRefGoogle Scholar
2.Mokri, B, Sundt, TM, Houser, W.Spontaneous internal carotid dissection, hemicrania, and Horner's syndrome. Arch Neurol 1979; 36: 677680.CrossRefGoogle ScholarPubMed
3.Schievink, WL, Limburg, M.Dissection of cervical arteries as a cause of cerebral ischemic or cranial nerve dysfunction. Ned Tijdschr Geneeskd 1990; 134: 18431848.Google ScholarPubMed
4.Beger, MS, Wilson, CB.Intracranial dissection aneurysm of the post circulation. Report of six cases and review of the literature. J Neurosurg 1984; 61: 882894.Google Scholar
5.Luken, MG, Ascherl, GF, Cornell, JW, et al.Spontaneous dissection aneurysm of the extracranial internal carotid artery. Clin Neurosurg 1979; 26: 353375.CrossRefGoogle ScholarPubMed
6.Fisher, CM, Ojemann, RG, Roberson, GH.Spontaneous dissection of cervicocerebral arteries. Can J Neurol Sci 1987; 5: 919.CrossRefGoogle Scholar
7.Mehigan, JT, Olcott, C.The carotid String Sign — differential diagnosis. Am J Neurosurg 1980; 140: 137143.Google ScholarPubMed
8.Pothrock, JF, Lim, V, Press, G, et al.Serial magnetic resonance and carotid duplex examination in the management of carotid dissection. Neurology 1989; 39: 686692.CrossRefGoogle Scholar
9.Masaryk, T, Ross, J, Modic, M.Carotid bifurcation: MR imaging. Radiology 1988; 166: 461466.CrossRefGoogle ScholarPubMed
10.Bogousslavsky, J, Despland, PA, Regli, F.Spontaneous carotid dissection with acute stroke. Arch Neurol 1987; 44: 137140.CrossRefGoogle ScholarPubMed
11.Rosen, BR, Carter, EA, Pykett, IL, et al.Proton chemical shift imaging: an evaluation of its clinical potential using an in vivo fatty liver model. Radiology 1985; 154: 469472.CrossRefGoogle Scholar
12.Goldberg, HI, Grossman, RI, Gomori, JM, et al.Cervical internal carotid artery dissection hemorrhage: diagnosis using MR. Radiology 1986; 158: 157161.CrossRefGoogle ScholarPubMed