Horner's Syndrome Secondary to Angiogram Negative, Subadventitial Carotid Artery Dissection

Assaf, María Paula Villarreal; Sweeney, Patrick J.; Kosmorsky, Gregory S.; Masaryk, Thomas J.

doi:10.1017/s0317167100047442

Cited by 12 publications

(3 citation statements)

References 9 publications

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“…Abbreviations: ICA, internal carotid artery dissections (9). In patients with carotid artery dissection, 40% to 50% of them will develop ipsilateral Horner syndrome (10,11).…”

Section: Discussionmentioning

confidence: 99%

Paratrigeminal Neuralgia that Improved with Treatment of Hypertension in a Patient with Raeder’s Syndrome After Carotid Artery Stenting

Sato¹,

Ueno²,

Motoyama³

et al. 2021

PMCR

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BACKGROUND: Although there have been reports of Raeder’s syndrome developing after carotid artery dissection, to our knowledge, no case of Raeder’s syndrome occurring after carotid stenting has been reported. CASE REPORT: A 46-year-old man was urgently treated with a self-expanding stent for idiopathic right carotid artery dissection. However, the patient complained of moderate oppressive pain in the right orbit and forehead immediately after stent placement. Further examination revealed a right eye miosis and right ptosis. No anhidrosis was noted. A diagnosis of Raeder’s syndrome was made based on partial Horner’s syndrome and pain in the first branch of the trigeminal nerve. We noticed that he had hypertension and started antihypertensive medication. After starting the antihypertensive medication, his blood pressure stabilized, and his periorbital pain disappeared dramatically as his blood pressure fell. However, Horner’s symptoms (miosis and ipsilateral ptosis) were still present. CONCLUSION: We experienced a case of Raeder’s syndrome that occurred after stenting of the carotid artery. Neuralgia improved by treatment of hypertension. It should be noted that the paratrigeminal neuralgia of Raeder’s syndrome after carotid stenting can be caused by hypertension. KEY WORDS: Antihypertensive medication, Horner’s symptoms, Raeder’s syndrome, stenting of the carotid artery

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“…Abbreviations: ICA, internal carotid artery dissections (9). In patients with carotid artery dissection, 40% to 50% of them will develop ipsilateral Horner syndrome (10,11).…”

Section: Discussionmentioning

confidence: 99%

Paratrigeminal Neuralgia that Improved with Treatment of Hypertension in a Patient with Raeder’s Syndrome After Carotid Artery Stenting

Sato¹,

Ueno²,

Motoyama³

et al. 2021

PMCR

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“…On MRI of our patient, the dilated false lumen of the IMA revealed signal isointensity on T1-weighted images, hyperintense signal intensity on T2-weighted images, and strong enhancement on postcontrast T1-weighted images. The usefulness of magnetic resonance angiography in the diagnosis of dissection is limited; the most useful magnetic resonance sequence is probably fatsuppressed axial T1-weighted images with inferior saturation pulses (1).…”

Section: Discussionmentioning

confidence: 99%

Traumatic Dissection of the Internal Maxillary Artery Associated with Isolated Glossopharyngeal Nerve Palsy: Case Report

Ahn

Chung

et al. 2004

Neurosurgery

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We describe the first reported case of internal maxillary artery dissection and pseudoaneurysm presenting with isolated glossopharyngeal nerve palsy. The association between cranial nerve palsy and dissection of the external carotid artery branch may be the result of a compressive mechanism, as suggested by its anatomic relationships, the characteristics of the dissection, and the good prognosis. Endovascular embolization of the external carotid artery dissection and pseudoaneurysm is suggested as an effective therapeutic method for improving or alleviating neurological deficits produced by mass effect.

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“…tis interna [1], sind zerebrale ischämische Insulte [2,8,18]. Zur Vorbeugung ist deshalb eine orale Antikoagulation mit Thrombozytenaggregationshemmern [20,27] oder Kumarinderivaten über zumindest 4 Monate [15,18] die Therapie der Wahl.…”

Section: Abb 4 Bunclassified

Horner-Syndrom bei Karotisdissektion nach chiropraktischer Manipulation

Gamer¹,

Schuster²,

Aicher³

et al. 2002

Klin Monatsbl Augenheilkd

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Horner's Syndrome Secondary to Angiogram Negative, Subadventitial Carotid Artery Dissection

Cited by 12 publications

References 9 publications

Paratrigeminal Neuralgia that Improved with Treatment of Hypertension in a Patient with Raeder’s Syndrome After Carotid Artery Stenting

Paratrigeminal Neuralgia that Improved with Treatment of Hypertension in a Patient with Raeder’s Syndrome After Carotid Artery Stenting

Traumatic Dissection of the Internal Maxillary Artery Associated with Isolated Glossopharyngeal Nerve Palsy: Case Report

Horner-Syndrom bei Karotisdissektion nach chiropraktischer Manipulation

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