Postcoital Internal Carotid Artery Dissection Presenting as Isolated Painful Horner Syndrome: A Case Report

Postcoital artery dissection is a rare condition. Here we report a 40-year-old male patient with painful Horner syndrome related to postcoital internal carotid artery (ICA) dissection. In neurologic examination of the patient, semiptosis, enophthalmus, and myosis were observed on the left side. Ther...

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Main Authors: Eren Gozke, Hilal Tastekin Toz, Pınar Kahraman Koytak, Funda Alparslan
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2013/403647
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author Eren Gozke
Hilal Tastekin Toz
Pınar Kahraman Koytak
Funda Alparslan
author_facet Eren Gozke
Hilal Tastekin Toz
Pınar Kahraman Koytak
Funda Alparslan
author_sort Eren Gozke
collection DOAJ
description Postcoital artery dissection is a rare condition. Here we report a 40-year-old male patient with painful Horner syndrome related to postcoital internal carotid artery (ICA) dissection. In neurologic examination of the patient, semiptosis, enophthalmus, and myosis were observed on the left side. There were no carotid bruits. On T1-weighted and fat-suppressed cranial MRI, hyperintensity consistent with intramural hematoma was observed within cervical and temporal petrous segments of left ICA. On cervical and cranial MRA, marked decrease in the calibration of C1 and C2 segments of the left ICA was remarkable. The patient was diagnosed as left ICA dissection and anticoagulant therapy was initiated. A prominent improvement was noted in clinical findings during two months of followup period.
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institution Kabale University
issn 2090-6668
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language English
publishDate 2013-01-01
publisher Wiley
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series Case Reports in Neurological Medicine
spelling doaj-art-3f060c8a7b4542a5bb7dee4eccddbfe32025-02-03T05:53:48ZengWileyCase Reports in Neurological Medicine2090-66682090-66762013-01-01201310.1155/2013/403647403647Postcoital Internal Carotid Artery Dissection Presenting as Isolated Painful Horner Syndrome: A Case ReportEren Gozke0Hilal Tastekin Toz1Pınar Kahraman Koytak2Funda Alparslan3Department of Neurology, FSM Teaching and Research Hospital, 34752 Istanbul, TurkeyDepartment of Neurology, FSM Teaching and Research Hospital, 34752 Istanbul, TurkeyDepartment of Neurology, FSM Teaching and Research Hospital, 34752 Istanbul, TurkeyDepartment of Neurology, FSM Teaching and Research Hospital, 34752 Istanbul, TurkeyPostcoital artery dissection is a rare condition. Here we report a 40-year-old male patient with painful Horner syndrome related to postcoital internal carotid artery (ICA) dissection. In neurologic examination of the patient, semiptosis, enophthalmus, and myosis were observed on the left side. There were no carotid bruits. On T1-weighted and fat-suppressed cranial MRI, hyperintensity consistent with intramural hematoma was observed within cervical and temporal petrous segments of left ICA. On cervical and cranial MRA, marked decrease in the calibration of C1 and C2 segments of the left ICA was remarkable. The patient was diagnosed as left ICA dissection and anticoagulant therapy was initiated. A prominent improvement was noted in clinical findings during two months of followup period.http://dx.doi.org/10.1155/2013/403647
spellingShingle Eren Gozke
Hilal Tastekin Toz
Pınar Kahraman Koytak
Funda Alparslan
Postcoital Internal Carotid Artery Dissection Presenting as Isolated Painful Horner Syndrome: A Case Report
Case Reports in Neurological Medicine
title Postcoital Internal Carotid Artery Dissection Presenting as Isolated Painful Horner Syndrome: A Case Report
title_full Postcoital Internal Carotid Artery Dissection Presenting as Isolated Painful Horner Syndrome: A Case Report
title_fullStr Postcoital Internal Carotid Artery Dissection Presenting as Isolated Painful Horner Syndrome: A Case Report
title_full_unstemmed Postcoital Internal Carotid Artery Dissection Presenting as Isolated Painful Horner Syndrome: A Case Report
title_short Postcoital Internal Carotid Artery Dissection Presenting as Isolated Painful Horner Syndrome: A Case Report
title_sort postcoital internal carotid artery dissection presenting as isolated painful horner syndrome a case report
url http://dx.doi.org/10.1155/2013/403647
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AT pınarkahramankoytak postcoitalinternalcarotidarterydissectionpresentingasisolatedpainfulhornersyndromeacasereport
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