Central Horner Syndrome with Vertebral Artery Dissection
نویسندگان
چکیده
Purpose: To report the first case of a 53-year-old male patient diagnosed with central Horner syndrome, associated vertebral artery dissection, which has never been reported in Korea to date.Case summary: A presented conjunctival hyperemia left eye for over 4 months, past history acute subarachnoid hemorrhage and ruptured dissecting aneurysm artery. On slit-lamp examination, mild ptosis upper eyelid were noted his eye. The pupil was smaller than right without afferent pupillary defects either Anisocoria greater dark, dilation lag pupil. systemic he complained numbness lower extremities symptoms leaning when walking. After instillation 0.5% apraclonidine, anisocoria reversed, disappeared. Magnetic resonance images revealed chronic infarction lateral medulla, syndrome Wallenberg syndrome.Conclusions: We present medullary caused by dissection.
منابع مشابه
Clinical import of Horner syndrome in internal carotid and vertebral artery dissection.
OBJECTIVE To study the prognostic importance of Horner syndrome (HS) in patients with internal carotid artery dissection (ICAD) or vertebral artery dissection (VAD). METHODS In this observational study, characteristics and outcome of patients with ICAD or VAD from the CADISP (Cervical Artery Dissection and Ischemic Stroke Patients) database were analyzed. The presence of HS was systematically...
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CLINICAL CASE A 42-year-old man presented with ptosis and miosis in his left eye and a history of headache over the last 20 days. An angioresonance showed dissection of internal carotid artery. DISCUSSION "Painful Horner's Syndrome" is considered to be a medical emergency due possible onset of an internal carotid artery dissection. We consider that awareness of neuro-ophthalmologic emergencie...
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PURPOSE To assess the prevalence of vertebral artery dissection in Wallenberg syndrome. METHODS Sixteen patients (12 men, 4 women; mean age at ictus, 51.6 years) with symptoms of Wallenberg syndrome and an infarction demonstrated in the lateral medulla on MR were reviewed retrospectively. The study items were as follows: (a) headache as clinical signs, in particular, occipitalgia and/or poste...
متن کاملExtracranial vertebral artery dissection
Vertebral artery dissection (VAD) is not uncommon in the young adult population. Owing to the various clinical manifestations; the diagnosis of VAD mainly depends on imaging examinations. Ultrasound has found an increasingly wide utilization in the diagnosis of VAD because of the continuous improvement in the resolution of ultrasonic instruments and accessibility.We retrospectively collected th...
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ژورنال
عنوان ژورنال: Journal of The Korean Ophthalmological Society
سال: 2022
ISSN: ['0378-6471', '2092-9374']
DOI: https://doi.org/10.3341/jkos.2022.63.5.490