scholarly journals Transient iatrogenic Horner’s syndrome following carotid endarterectomy

2019 ◽  
Vol 12 (2) ◽  
pp. e228244 ◽  
Author(s):  
Hena Hidayat ◽  
Mekki Medani ◽  
Eamon Kavanagh
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Postoperative Period ◽  
Horner’S Syndrome ◽  
Horner's Syndrome

We present a case of a 72-year-old man who developed a transient Horner’s syndrome in the immediate postoperative period after right carotid endarterectomy which resolved within 3 months. Although Horner’s syndrome has been reported with several disorders of the carotid artery, our case documents a rare iatrogenic oculosympathetic paresis after elective carotid endarterectomy.

Ipsilateral Pupillary Dilation Following Carotid Endarterectomy: A Temporary and Benign Phenomenon

Neurosurgery ◽  
2017 ◽  
Vol 80 (5) ◽  
pp. E239-E244
Author(s):  
Jeffrey A. Steinberg ◽  
Bob S. Carter ◽  
Marco B. Lee ◽  
Gary K. Steinberg
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Autonomic Dysfunction ◽  
Clinical Presentation ◽  
Oculomotor Nerve ◽  
Horner’S Syndrome ◽  
Ciliary Ganglion ◽  
Pupillary Dilation ◽  
Horner's Syndrome

Abstract BACKGROUND AND IMPORTANCE: Cases of post carotid endarterectomy (CEA) Horner's syndrome have been reported, with symptoms attributed to manipulation of the sympathetic plexus situated along the carotid artery; however, these patients presented with the typical constricted pupil. We report the first 3 cases to our knowledge of mydriasis following CEA. CLINICAL PRESENTATION: We present 3 cases of CEA followed by immediate postoperative development of ipsilateral mydriasis. The patients were otherwise at their neurologic baseline and the mydriasis resolved over the ensuing few days. CONCLUSION: We suggest that these cases are secondary to an ischemic phenomenon, specifically to parasympathetic structures such as the ciliary ganglion and/or oculomotor nerve, resulting in autonomic dysfunction manifested by pupillary dilation. A similar finding of mydriasis occurring subsequent to other carotid pathology has been reported, with ischemia to parasympathetic structures also proposed as the underlying etiology. Although pupillary dilation often represents a worrisome neurosurgical sign indicating herniation, it should be recognized that after CEA this finding may be a transient, benign occurrence.

Horner's Syndrome: A Complication Following Carotid Endarterectomy

1993 ◽  
Vol 27 (4) ◽  
pp. 296-302
Author(s):  
Jean Gillon ◽  
Steven Schechter ◽  
Wilfred I. Carney
Keyword(s):  
Carotid Endarterectomy ◽  
Horner’S Syndrome ◽  
Horner's Syndrome

Agenesis of Internal Carotid Artery in a Child with Ipsilateral Horner's Syndrome

2009 ◽  
Vol 24 (1) ◽  
pp. 101-104 ◽  
Author(s):  
Carmen Fons ◽  
Monica Vasconcelos ◽  
Mariona Vidal ◽  
Ramón Puy ◽  
Antonio Capdevila ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Horner’S Syndrome ◽  
Horner's Syndrome

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

1993 ◽  
Vol 20 (1) ◽  
pp. 62-64 ◽  
Author(s):  
M. Assaf ◽  
P.J. Sweeney ◽  
G. Kosmorsky ◽  
T. Masaryk
Keyword(s):  
Carotid Artery ◽  
Acute Onset ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Mri Imaging ◽  
Horner's Syndrome ◽  
Subsequent Investigation ◽  
Left Neck ◽  
Invasive Method

ABSTRACT: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.

Horner's syndrome: A complication of experimental carotid artery surgery in rats

2009 ◽  
Vol 147 (1-2) ◽  
pp. 64-69 ◽  
Author(s):  
M.W. Aalbers ◽  
K. Rijkers ◽  
L.A.A.P. van Winden ◽  
G. Hoogland ◽  
J.S.H. Vles ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Carotid Artery Surgery

scholarly journals Isolated Middle-Third Clavicle Fracture Causing Horner's Syndrome: A Case Report and Literature Review

2021 ◽  
Vol 8 ◽  
Author(s):  
Chia-Yu Lin ◽  
Hao-Wei Chang ◽  
Yu-Hsuan Chang ◽  
I-Hao Lin ◽  
Hung-Yu Huang ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Carotid Artery ◽  
Clavicle Fracture ◽  
Carotid Artery Dissection ◽  
Spine Injury ◽  
Radiographic Examination ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Left Shoulder ◽  
Horner's Syndrome

The pathophysiology of Horner's syndrome arises due to compression or destruction of the oculosympathetic nerve pathway. Traumatic Horner's syndrome may indicate lethal neurovascular injury, such as brain stem lesion, cervical spine injury, or carotid artery dissection. The middle-third is the most common type of clavicle fracture. However, the association of the isolated middle-third clavicle fracture and Horner's syndrome is rare. We report the case of a 47 year-old woman who presented to our emergency department with acute trauma. Severe tenderness and limited mobility were observed in her left shoulder. On radiographic examination, a middle-third clavicle fracture was diagnosed. Ptosis and myosis were also noticed on further examination, and she was subsequently diagnosed with Horner's syndrome. A survey of the brain, cervical spine, carotid artery, and lung revealed no pathological findings. Surgery for the clavicle fracture was performed 2 days after the accident. The patient recovered from Horner's syndrome gradually over the 2 months following the surgery, and the syndrome completely resolved by the third month. To the best of our knowledge, this is the first report of traumatic Horner's syndrome caused by an isolated middle-third clavicle fracture. The improved outcome may be attributed to the surgical intervention for middle-third clavicle fracture, which may help release ganglion or neuronal compression.

Sign in / Sign up

Export Citation Format

Share Document