Kline L B, Vitek J J, Raymon B C
Ophthalmology. 1987 Mar;94(3):226-30. doi: 10.1016/s0161-6420(87)33469-4.
Spontaneous dissection of the internal carotid artery as a cause of Horner's syndrome has only been recognized in recent years. The authors describe three patients with this condition. Associated symptoms included ipsilateral orbital and frontal headache (3 patients), neck and facial pain (2), amaurosis fugax (1), and dysgeusia (1). The symptoms resolved in all patients within three months, yet oculosympathetic paralysis has persisted. Diagnosis of carotid dissection required cerebral arteriography, and the angiographic features are presented. Patients were treated with platelet antiaggregants, and they have remained neurologically stable during follow-up (mean, 12 months; range, 10-14 months).
近年来，颈内动脉自发性夹层形成作为霍纳综合征的病因才被认识。作者描述了3例患有这种疾病的患者。相关症状包括同侧眼眶和前额头痛（3例）、颈部和面部疼痛（2例）、一过性黑矇（1例）和味觉障碍（1例）。所有患者的症状在3个月内均得到缓解，但眼交感神经麻痹仍然存在。颈动脉夹层的诊断需要进行脑血管造影，并展示了血管造影特征。患者接受了血小板抗聚集剂治疗，在随访期间（平均12个月；范围10 - 14个月）神经功能保持稳定。
