Two neuro-ophthalmic episodes separated in time and space.
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.
Cullom
R D
RD
Department of the Navy, Portsmouth Naval Medical Center, Virginia, USA.
Cullom
M E
ME
Kardon
R
R
Digre
K
K
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
D000925:Anticoagulants; D006493:Heparin