1/4. Horner's syndrome and dissection of the internal carotid artery after chiropractic manipulation of the neck.PURPOSE: To report a case of Horner's syndrome and dissection of the internal carotid artery after chiropractic manipulation of the neck. methods: Case report. A 44-year-old woman with no prior ocular or vascular history presented with severe right-sided head and neck pain, ptosis, and miosis following chiropractic treatment for a strained right shoulder muscle. RESULTS: magnetic resonance angiography of the neck and brain revealed a dissection of the right internal carotid artery as well as a suggestion of subtle dissection in the right vertebral artery. No significant brain abnormalities were noted on magnetic resonance imaging. Pharmacological testing was consistent with preganglionic oculosympathetic damage. CONCLUSION: Acute, painful Horner's syndrome as a manifestation of vascular dissection may be associated with chiropractic manipulation of the neck.- - - - - - - - - - ranking = 1keywords = carotid artery, carotid (Clic here for more details about this article) |
2/4. Raeder's syndrome after embolization of a giant intracavernous carotid artery aneurysm: pathophysiological considerations.We present the case of a 47 years old woman submitted to an endovascular trapping of a left cavernous internal carotid artery aneurysm, in which the distal balloon was inflated, as usually done, within the cavernous segment of the internal carotid artery, different from the proximal one which was inflated inside the carotid canal due to technical problems. Consequently, a clinical picture of Raeder's paratrigeminal neuralgia took place. This is the first case report in the literature with theses characteristics. A review of the anatomic pathways and further considerations about the possible pathophysiological mechanisms involved are presented.- - - - - - - - - - ranking = 1.0684917054396keywords = carotid artery, carotid (Clic here for more details about this article) |
3/4. Horner's syndrome caused by intra-oral trauma.A 7-year-old boy developed a Horner's syndrome after falling on a stick that penetrated his peritonsillar soft palate. He did not suffer from any major vascular injury, and pharmacologic testing indicated a preganglionic lesion. We review previously reported cases of oculosympathetic paresis caused by surgical and nonsurgical intra-oral trauma. Because of the proximity between sympathetic and vascular structures in the lateral and parapharyngeal space, Horner's syndrome in the setting of intra-oral trauma should prompt evaluation of the internal carotid artery. magnetic resonance imaging may be a reasonable noninvasive method for this investigation.- - - - - - - - - - ranking = 0.16666666666667keywords = carotid artery, carotid (Clic here for more details about this article) |
4/4. Painful horner syndrome due to arteritis of the internal carotid artery.A 44-year-old man presented with painful horner syndrome: severe periorbital pain, ptosis, and miosis of his right eye, with intact facial sweating. lymphadenitis at the right side of his neck preceded the symptoms. MRI and magnetic resonance angiography showed thickening of the right internal carotid artery, extending from the bifurcation to the cavernous sinus, without evidence for dissection. The patient was treated with corticosteroids with immediate improvement. Control MRI scanning was normal after 6 weeks. We conclude that the painful horner syndrome was caused by a reactive arteritis of the right internal carotid artery.- - - - - - - - - - ranking = 1keywords = carotid artery, carotid (Clic here for more details about this article) |