Ophthalmology Department, St. James University Hospital , Leeds, UK ; Ophthalmology Department, Athens General Hospital , Athens, Greece.
Ophthalmology Department, Athens General Hospital , Athens, Greece.
J Sports Sci Med. 2014 May 1;13(2):451-3. eCollection 2014 May.
The presentation of Horner's syndrome following blunt trauma is uncommon, but is of important clinical significance. Identification of the constellation of signs of Horner's syndrome should, therefore, prompt urgent neuro-radiologic imaging. Early diagnosis and initiation of appropriate treatment can lead to excellent outcomes in the majority of cases and prevent devastating cerebral ischaemic damage. A progressive case of Horner's syndrome following blunt injury to the neck in an amateur snowboarder is presented. Key pointsBlunt injury to the neck can result in Horner's syndrome.Horner's syndrome should alert clinicians to the possibility of a silent ICAD.MRI and MRA of the head and neck constitute the imaging modality of choice to look for ICAD.The treatment of choice for ICAD is anticoagulation for 3-6 months.
颈钝挫伤后出现霍纳氏综合征并不常见，但具有重要的临床意义。因此，一旦发现霍纳氏综合征的一系列体征，应立即进行神经放射影像学检查。在大多数情况下，早期诊断和及时治疗可带来良好的预后，并防止灾难性的脑缺血损伤。本文报道了 1 例业余单板滑雪者颈钝挫伤后进行性霍纳氏综合征。
颈钝挫伤可导致霍纳氏综合征。
霍纳氏综合征应引起临床医生警惕潜在的颈内动脉夹层的可能性。
头颈部 MRI 和 MRA 是寻找颈内动脉夹层的首选影像学检查手段。
颈内动脉夹层的治疗选择为抗凝治疗 3-6 个月。
