Horner's syndrome and dissection of the internal carotid artery after chiropractic manipulation of the neck

被引：35
|
作者：
Parwar, BL [1 ]
Fawzi, AA [1 ]
Arnold, AC [1 ]
Schwartz, SD [1 ]
机构：
[1] Univ Calif Los Angeles, Jules Stein Eye Inst, Los Angeles, CA 90095 USA
来源：
AMERICAN JOURNAL OF OPHTHALMOLOGY | 2001年 / 131卷 / 04期
关键词：
D O I：
10.1016/S0002-9394(00)00829-1
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
PURPOSE: To report a case of Horner's syndrome and dissection of the internal carotid artery after chiropractic manipulation of the neck. METHODS: Case report. A 44-year-old woman with no prior ocular or vascular history presented with severe right-sided head and neck pain, ptosis, and miosis following chiropractic treatment for a strained right shoulder muscle. RESULTS: Magnetic resonance angiography of the neck and brain revealed a dissection of the right internal carotid artery as well as a suggestion of subtle dissection in the right vertebral artery. No significant brain abnormalities were noted on magnetic resonance imaging. Pharmacological testing was consistent with preganglionic oculosympathetic damage. CONCLUSION: Acute, painful Horner's syndrome as a manifestation of vascular dissection may be associated with chiropractic manipulation of the neck. (Am J Ophthalmol 2001;131:523-524. (C) 2001 by Elsevier Science Inc. All rights reserved).
引用
收藏
页码：523 / 524
页数：2
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