title: Two neuro-ophthalmic episodes separated in time and space.
abstract: A-46-year-old woman with a prior history of a spontaneously resolving right central retinal artery occlusion presented with an acute right third order Horner's syndrome and vague ocular pain. Magnetic resonance angiography demonstrated a right internal carotid artery dissection. The dissection improved on anticoagulation therapy. Marfans syndrome or Ehlers-Danlos syndrome was suspected but ruled out by clinical criteria and skin biopsy respectively.
authors.affiliation: Department of the Navy, Portsmouth Naval Medical Center, Virginia, USA.
authors.forename: R D
authors.initials: RD
authors.lastname: Cullom
authors.forename: M E
authors.initials: ME
authors.lastname: Cullom
authors.forename: R
authors.initials: R
authors.lastname: Kardon
authors.forename: K
authors.initials: K
authors.lastname: Digre
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D002343:Carotid Artery, Internal / Q000473:pathology; D003937:Diagnosis, Differential; D004535:Ehlers-Danlos Syndrome / Q000175:diagnosis; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006732:Horner Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D018810:Magnetic Resonance Angiography; D008382:Marfan Syndrome / Q000175:diagnosis; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D015356:Retinal Artery Occlusion / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors
chemical_list: D000925:Anticoagulants; D006493:Heparin