title: Surgical Position, Cause of Extracranial Internal Carotid Artery Dissection, Presenting as Pourfour Du Petit Syndrome: Case Report and Literature Review.
abstract: Dissection of the internal carotid artery is a rare cause of stroke overall, but causes 22% of strokes in younger patients. A common clinical presentation is as Claude Bernard Horner syndrome. We report a craniotomy with 30 degrees rotation of the neck (standard position) in a patient with no major risk factors for carotid dissection, who showed a Pourfour du Petit syndrome due to a dissection of the internal carotid artery. To the best of our knowledge, this is the first reported case in which a common surgical position causes an internal carotid artery dissection in a patient without relevant risk factors. The presentation with Pourfour du Petit syndrome is extremely unusual.
authors.affiliation: Hospital del Mar, Neurosurgery Department, Barcelona, Spain.
authors.forename: Gloria
authors.initials: G
authors.lastname: Villalba Martinez
authors.forename: Irene
authors.initials: I
authors.lastname: Navalpotro Gomez
authors.forename: Laura
authors.initials: L
authors.lastname: Serrano Perez
authors.forename: Sofia
authors.initials: S
authors.lastname: Gonzalez Ortiz
authors.forename: Juan L
authors.initials: JL
authors.lastname: Fernández-Candil
authors.forename: Eva Giralt
authors.initials: EG
authors.lastname: Steinhauer
mesh_terms: D000328:Adult; D020215:Carotid Artery, Internal, Dissection / Q000209:etiology*; D003399:Craniotomy / Q000379:methods; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D005260:Female; D006732:Horner Syndrome / Q000209:etiology* / Q000628:therapy; D006801:Humans; D009333:Neck; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D056888:Patient Positioning / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D020521:Stroke / Q000150:complications; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D020301:Vasospasm, Intracranial / Q000209:etiology / Q000628:therapy