THE CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES Horner's Syndrome Secondary to Angiogram Negative, Subadventitial Carotid Artery Dissection
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چکیده
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. RESUME: Syndrome de Horner secondaire a une dissection sous-adventitielle de la corotide, non visualisee a I'angiographie. Un homme de 59 ans an consulte pour des paresthesies et une douleur a debut subit du cote gauche du cou, de la face et du front. L'investigation a montre une dissection de type sous-adventitielle de la carotide causant un syndrome de Horner ipsilateral avec une carotide normale a ['angiographic. L'imagerie par MRI des structures du cou, par la technique de saturation des graisses, a montre une dissection sous-adventitielle epargnant la lumiere de l'artere. Le MRI est une methode non-invasive de diagnostic et de suivi de la dissection de la carotide. Can. J. Neurol. Sci. 1993; 20: 62-64 The extracranial carotid artery is the most frequently reported site of cervicocerebral vessel dissection, occurring predominantly in middle age with a slight male predominance. An ipsilateral Horner's syndrome occurs in 40 to 50% of patients with carotid dissection, secondary to involvement of the carotid sympathetic sheath. This report describes an unusual variety of carotid dissection and indicates the usefulness of MRI in diagnosis.
منابع مشابه
Horner's syndrome secondary to angiogram negative, subadventitial carotid artery dissection.
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, sp...
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