• Klin Monbl Augenheilkd · Sep 2002

    Case Reports

    [Horner's syndrome in dissection of the carotid artery after chiropractic manipulation].

    • Daphne Gamer, Andreas Schuster, Klaus Aicher, and Eckart Apfelstedt-Sylla.
    • Universitäts-Augenklinik Tübingen, Abteilung für Pathophysiologie des Sehens und Neuroophthalmologie, Germany. daphne.gamer@med.uni-tuebingen.de
    • Klin Monbl Augenheilkd. 2002 Sep 1; 219 (9): 673-6.

    Case ReportWe report on a 37-year old patient with sudden onset of pain of the right scalp and an ipsilateral small pupil, presenting five weeks after chiropractic manipulation of the neck.Methods/ResultsPharmacologic pupil testing showed a postganglionic Horner's syndrome on the right side. Magnetic resonance angiography confirmed the diagnosis of a dissection of the right internal carotid artery at a subacute stage.ConclusionThere appears to be a causal relationship between carotid artery dissection and the chiropractic manipulation of the cervical spine. Ophthalmological signs played the key role in detecting this complication.

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