Abstract
Postcoital artery dissection is a rare condition. Here we report a 40-year-old male patient with painful Horner syndrome related to postcoital internal carotid artery (ICA) dissection. In neurologic examination of the patient, semiptosis, enophthalmus, and myosis were observed on the left side. There were no carotid bruits. On T1-weighted and fat-suppressed cranial MRI, hyperintensity consistent with intramural hematoma was observed within cervical and temporal petrous segments of left ICA. On cervical and cranial MRA, marked decrease in the calibration of C1 and C2 segments of the left ICA was remarkable. The patient was diagnosed as left ICA dissection and anticoagulant therapy was initiated. A prominent improvement was noted in clinical findings during two months of followup period.
Highlights
Carotid artery dissection is characterized by the formation of mural hematoma as a result of rupture of tunica intima with an incidence of 2.5–3/100.000
Postcoital artery dissections are rarely reported in the literature, any incident of postcoital carotid artery dissection in patients presented with isolated Horner syndrome has not been encountered so far [1, 2]
A case with postcoital internal carotid artery (ICA) dissection in a patient referred with painful Horner syndrome is presented
Summary
Carotid artery dissection is characterized by the formation of mural hematoma as a result of rupture of tunica intima with an incidence of 2.5–3/100.000. It can develop spontaneously or secondary to trauma. Postcoital artery dissections are rarely reported in the literature, any incident of postcoital carotid artery dissection in patients presented with isolated Horner syndrome has not been encountered so far [1, 2]. A case with postcoital internal carotid artery (ICA) dissection in a patient referred with painful Horner syndrome is presented
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