Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2011 Aug;11(4):402-4.
doi: 10.7861/clinmedicine.11-4-402.

A small left pupil and a headache

Phey Ming Yeap  1 , Christos Tziotzios, Nigel McMillan, Matthew Walters
Affiliations
Case Reports

A small left pupil and a headache

Phey Ming Yeap et al. Clin Med (Lond). 2011 Aug.

Abstract

Carotid artery dissection is an important cause of stroke in young adults. When focal neurological deficit or classic traumatic history is absent, the diagnosis can be challenging. This lesson reports an interesting case of a patient in whom pupillary dysfunction was the presenting sign of acute dissection of carotid artery.

PubMed Disclaimer

Figures

Fig 1.
Fig 1.
Magnetic resonance angiography of aortic arch and carotids. A dissecting aneurysm arising from the left internal carotid artery is demonstrated measuring 13 mm in length with a narrow neck of 2 mm.
Fig 2.
Fig 2.
Volume rendered image from follow up CT angiography examination showing pseudoaneurysm of left internal carotid artery. The study was undertaken a month after his initial presentation and shows evolution of the dissection to pseudoaneurysm. Resolution was achieved three months later on anti-coagulation.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Lee WW, Jensen ER. Bilateral internal carotid artery dissection due to trivial trauma. J Emerg Med. 2000;19:35–41. doi: 10.1016/S0736-4679(00)00190-6. - DOI - PubMed
    1. Schievink WI. Spontameous dissection of the carotid and vertebral arteries. N Eng J Med. 2001;344:898–906. doi: 10.1056/NEJM200103223441206. - DOI - PubMed
    1. Faivre A, Chapon F, Combaz X, Nicoli F. Internal carotid artery dissection occurring during intensive practice with Wii® video sports games. Neurology. 2009;73:1242–3. - PubMed
    1. Arnold M, Cumurciuc R, Stapf C, et al. Pain as the only symptom of cervical artery dissection. J Neurol Neurosur Psychiatry. 2006;77:1021–4. doi: 10.1136/jnnp.2006.094359. - DOI - PMC - PubMed
    1. Flaherty PM, Flynn JM. Horner syndrome due to carotid dissection. J Emerg Med. 2008 doi: 10.1016/j.jemermed.2008.01.017. - DOI - PubMed

Publication types

MeSH terms