Open AccessHorner syndrome with transient visual impairment
Author(s) -
Frank A. Orlando,
Maria Elisa Lupi
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_1444_20
Subject(s) - medicine , anisocoria , horner syndrome , miosis , amaurosis fugax , ptosis , surgery , dissection (medical) , pupil , anesthesia , ophthalmology , carotid arteries , neuroscience , biology
A 57-year-old female presented with headache, miosis, and ptosis diagnosed as Horner syndrome (HS). After delaying the recommended diagnostic imaging, she experienced transient, unilateral visual impairment in bright light. The patient was subsequently determined to have a spontaneous internal carotid artery dissection (ICAD) and secondary retinal ischemia with minimal cardiovascular risk factors and no history of preceding trauma. She wore dark glasses, received gabapentin for pain control, and was anticoagulated for a total of 4 months at which time the ICAD resolved despite a residual blepharoptosis and anisocoria.