Traumatic ptosis and mydriasis masking Horner syndrome from an internal carotid pseudoaneurysm. uri icon

Overview

abstract

  • A 46-year-old woman presented after blunt facial trauma for evaluation of bilateral orbital floor fractures, which were confirmed by clinical and radiographic examination. In addition, findings of right traumatic mydriasis and left traumatic ptosis were seen. On close investigation, miosis was noted on the side of the traumatic ptosis. Therefore, a workup for Horner syndrome was obtained, including neuro-ophthalmic consultation and magnetic resonance angiography of the neck. The magnetic resonance angiography showed an internal carotid pseudoaneurysm, an uncommon but potentially fatal complication of blunt carotid injury. The authors describe an interesting case where a life-threatening diagnosis was nearly masked by more common, benign pathology.

publication date

  • January 1, 2011

Research

keywords

  • Blepharoptosis
  • Carotid Artery Injuries
  • Carotid Artery, Internal
  • Facial Injuries
  • Horner Syndrome
  • Mydriasis
  • Wounds, Nonpenetrating

Identity

Scopus Document Identifier

  • 79960558449

Digital Object Identifier (DOI)

  • 10.1097/IOP.0b013e3181f0b228

PubMed ID

  • 20940657

Additional Document Info

volume

  • 27

issue

  • 4