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Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving

Internal carotid artery dissection (ICAD) is a rare entity that either results from traumatic injury or can be spontaneously preceded or not by a minor trauma such as sporting activities. It represents a major cause of stroke in young patients. The diagnosis should be suspected with the combination...

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Autores principales: Alonso Formento, Jose Enrique, Fernández Reyes, Jose Luis, Envid Lázaro, Blanca Mar, Fernández Letamendi, Teresa, Yeste Martín, Ryth, Jódar Morente, Francisco José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971302/
https://www.ncbi.nlm.nih.gov/pubmed/27525139
http://dx.doi.org/10.1155/2016/5162869
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author Alonso Formento, Jose Enrique
Fernández Reyes, Jose Luis
Envid Lázaro, Blanca Mar
Fernández Letamendi, Teresa
Yeste Martín, Ryth
Jódar Morente, Francisco José
author_facet Alonso Formento, Jose Enrique
Fernández Reyes, Jose Luis
Envid Lázaro, Blanca Mar
Fernández Letamendi, Teresa
Yeste Martín, Ryth
Jódar Morente, Francisco José
author_sort Alonso Formento, Jose Enrique
collection PubMed
description Internal carotid artery dissection (ICAD) is a rare entity that either results from traumatic injury or can be spontaneously preceded or not by a minor trauma such as sporting activities. It represents a major cause of stroke in young patients. The diagnosis should be suspected with the combination of Horner's syndrome, headache or neck pain, and retinal or cerebral ischaemia. The confirmation is frequently made with a magnetic resonance angiography (MRA). Although anticoagulation with heparin followed by vitamin-K-antagonists is the most common treatment, there is no difference in efficacy of antiplatelet and anticoagulant drugs at preventing stroke and death in patients with symptomatic carotid dissection. We describe a patient with ICAD following deep sea scuba diving, who presented with Horner's syndrome and neck pain and was successfully treated with anticoagulants.
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spelling pubmed-49713022016-08-14 Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving Alonso Formento, Jose Enrique Fernández Reyes, Jose Luis Envid Lázaro, Blanca Mar Fernández Letamendi, Teresa Yeste Martín, Ryth Jódar Morente, Francisco José Case Rep Neurol Med Case Report Internal carotid artery dissection (ICAD) is a rare entity that either results from traumatic injury or can be spontaneously preceded or not by a minor trauma such as sporting activities. It represents a major cause of stroke in young patients. The diagnosis should be suspected with the combination of Horner's syndrome, headache or neck pain, and retinal or cerebral ischaemia. The confirmation is frequently made with a magnetic resonance angiography (MRA). Although anticoagulation with heparin followed by vitamin-K-antagonists is the most common treatment, there is no difference in efficacy of antiplatelet and anticoagulant drugs at preventing stroke and death in patients with symptomatic carotid dissection. We describe a patient with ICAD following deep sea scuba diving, who presented with Horner's syndrome and neck pain and was successfully treated with anticoagulants. Hindawi Publishing Corporation 2016 2016-07-20 /pmc/articles/PMC4971302/ /pubmed/27525139 http://dx.doi.org/10.1155/2016/5162869 Text en Copyright © 2016 Jose Enrique Alonso Formento et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alonso Formento, Jose Enrique
Fernández Reyes, Jose Luis
Envid Lázaro, Blanca Mar
Fernández Letamendi, Teresa
Yeste Martín, Ryth
Jódar Morente, Francisco José
Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving
title Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving
title_full Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving
title_fullStr Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving
title_full_unstemmed Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving
title_short Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving
title_sort horner's syndrome due to a spontaneous internal carotid artery dissection after deep sea scuba diving
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971302/
https://www.ncbi.nlm.nih.gov/pubmed/27525139
http://dx.doi.org/10.1155/2016/5162869
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