霍纳综合征作为岩骨段颈内动脉夹层的孤立表现。
Horner syndrome as an isolated manifestation of an intrapetrous internal carotid artery dissection.
作者信息
Bilbao R, Amoros S, Murube J
机构信息
Ophthalmology Department, Hospital Ramón y Cajal, Madrid, Spain.
出版信息
Am J Ophthalmol. 1997 Apr;123(4):562-4. doi: 10.1016/s0002-9394(14)70191-6.
PURPOSE
To describe the atypical localization and unusual clinical manifestation of an internal carotid artery dissection.
METHODS
We examined a 43-year-old woman who had sudden onset of left ptosis and miosis with vague dysesthesia around her eye.
RESULTS
Her examination showed an intrapetrous carotid artery dissection.
CONCLUSIONS
The intrapetrous segment is an extremely rare localization for an internal carotid artery dissection. The differential diagnosis of acute Horner syndrome should include carotid dissection, which is usually accompanied by other neurologic manifestations.
目的
描述一例颈内动脉夹层的非典型定位及不寻常临床表现。
方法
我们检查了一名43岁女性，她突然出现左眼睑下垂、瞳孔缩小以及眼周模糊的感觉异常。
结果
她的检查显示岩骨内段颈内动脉夹层。
结论
岩骨内段是颈内动脉夹层极其罕见的定位。急性霍纳综合征的鉴别诊断应包括通常伴有其他神经系统表现的颈动脉夹层。
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