TY - JOUR
T1 - "Congenital" Horner's syndrome and carotid dissection
AU - Robertson, William C.
AU - Pettigrew, L. Creed
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2003/10
Y1 - 2003/10
N2 - The authors describe a child presenting with Homer's syndrome after the repeated application of birthing forceps to the head and neck during vaginal delivery. Magnetic resonance imaging and angiography confirmed that the proximal right internal carotid artery (ICA) showed injury caused by dissection. Carotid duplex and transcranial ultrasonography provided supporting evidence of distal right ICA occlusion with the development of intracranial collaterals. The authors interpret these findings to indicate that the child suffered a traumatic dissection of the distal right ICA to mimic "congenital" Horner's syndrome (CHS). In a review of English medical literature published since 1972, the authors found 70 cases of CHS, none of which was attributed to carotid dissection. This case demonstrates that carotid dissection is an underreported cause of CHS.
AB - The authors describe a child presenting with Homer's syndrome after the repeated application of birthing forceps to the head and neck during vaginal delivery. Magnetic resonance imaging and angiography confirmed that the proximal right internal carotid artery (ICA) showed injury caused by dissection. Carotid duplex and transcranial ultrasonography provided supporting evidence of distal right ICA occlusion with the development of intracranial collaterals. The authors interpret these findings to indicate that the child suffered a traumatic dissection of the distal right ICA to mimic "congenital" Horner's syndrome (CHS). In a review of English medical literature published since 1972, the authors found 70 cases of CHS, none of which was attributed to carotid dissection. This case demonstrates that carotid dissection is an underreported cause of CHS.
KW - Congenital
KW - Horner's syndrome
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U2 - 10.1177/1051228403257621
DO - 10.1177/1051228403257621
M3 - Article
C2 - 14569832
AN - SCOPUS:0141455229
SN - 1051-2284
VL - 13
SP - 367
EP - 370
JO - Journal of Neuroimaging
JF - Journal of Neuroimaging
IS - 4
ER -