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Case Reports
Carotid artery dissection presenting with isolated headache and Horner syndrome after minor head injury.
- Samuel Thomas Creavin, Claire M Rice, Adrian Pollentine, and Philip Cowburn.
- Bristol Royal Infirmary, Bristol BS2 8HW, United Kingdom. samcreavin@nhs.net
- Am J Emerg Med. 2012 Nov 1;30(9):2103.e5-7.
AbstractA woman aged 31 years presented to the emergency department after a minor head injury. She reported mild headache and a metallic taste in her mouth. Full neurologic examination was remarkable only for left-sided Horner syndrome. Left internal carotid artery dissection was confirmed on magnetic resonance imaging. She was treated with aspirin. Symptoms and signs persisted 3 months later, but there was no additional neurologic deficit. We stress the importance of early detection of Horner syndrome to minimize the risk of disabling stroke.
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