Article (Scientific journals)
Le cas clinique du mois. Syndrome de Claude Bernard-Horner revelant une dissection carotidienne spontanee.
Verdin; Holemans; Otto, B. et al.
2013In Revue Médicale de Liège, 68 (1), p. 11-5
Peer reviewed
 

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Keywords :
Carotid Artery, Internal, Dissection/complications/diagnosis; Diagnosis, Differential; Horner Syndrome/complications/diagnosis; Humans; Magnetic Resonance Angiography; Male; Middle Aged; Models, Biological; Rupture, Spontaneous/complications/diagnosis
Abstract :
[en] We report a case of spontaneous carotid artery dissection suspected by the appearance of Horner's syndrome. Under medical treatment, the intramural hematoma resolved within 3 months. The patient had an uneventful recovery, without any residual neurologic deficit. Spontaneous arterial dissection is responsible for a hematoma in the arterial wall without significant trauma. The pathogenesis remains unknown. Predisposing factors seem to exist. The clinical presentation is variable mainly due to local compression of adjacent structures which can precede a transient or permanent neurological deficit. The diagnosis is confirmed by Doppler US, CT angiography or magnetic resonance angiography, the best optional investigations. The treatment mainly consists of stroke prevention by anticoagulation versus antiplatelet therapy. The role of surgery and/or endovascular techniques has not yet been confirmed.
Disciplines :
Surgery
Author, co-author :
Verdin
Holemans
Otto, B.
VAN DAMME, Hendrik ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
Defraigne, Jean-Olivier ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Language :
French
Title :
Le cas clinique du mois. Syndrome de Claude Bernard-Horner revelant une dissection carotidienne spontanee.
Alternative titles :
[en] Horner's syndrome revealing a spontaneous carotid artery dissection
Publication date :
2013
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
68
Issue :
1
Pages :
11-5
Peer reviewed :
Peer reviewed
Available on ORBi :
since 23 January 2014

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