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Congenital Horner's syndrome resulting from agenesis of the internal carotid artery.

Abstract：

OBJECTIVE:To report a patient with agenesis of the right internal carotid artery associated with ipsilateral, congenital Homer's syndrome. DESIGN:Case report. METHODS:A 30-year-old woman, with a past history of migraine headaches, underwent neuro-ophthalmologic and neuroradiologic evaluation for transient visual obscurations and congenital Horner's syndrome. RESULTS:A right, third-order neuron Horner's syndrome was confirmed with 1% hydroxyamphetamine topical drops. Cranial magnetic resonance imaging revealed an absent right internal carotid artery flow void, computed tomography demonstrated absence of the right carotid canal, and cerebral angiography confirmed absence of the right internal carotid artery. No atheromatous lesions were found and the results of coagulation studies were normal. CONCLUSIONS:Agenesis of the internal carotid artery is a rare cause of congenital Horner's syndrome. The cause of transient visual blurring in the current patient remains unproven.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Ryan FH,Kline LB,Gomez C

doi

10.1016/s0161-6420(99)00006-8

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

185-8

issue

1

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(99)00006-8

journal_volume

107

pub_type

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