Internal carotid artery dissection secondary to excessive vocal output.
A previously healthy 61-year-old male presented to eye casualty with a left-sided Horner's syndrome. He reported that while offering strong vocal support at a football match 5 days previously, he had suddenly noticed an unusual sensation behind his left eye, accompanied by a left hemifacial headache. He had noted pupillary asymmetry soon after this. Radiological imaging revealed a left internal carotid artery dissection. Anticoagulant therapy was commenced, and all symptoms and signs had fully resolved at 1-month follow-up, with no further complications.
Department of Ophthalmology, Moorfields at St George's Hospital, London, UK. nashila@doctors.org.uk
Nashila
N
Hirji
Alexander
A
Ionides
D020215:Carotid Artery, Internal, Dissection / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014831:Voice