Horner's Syndrome After Carotid Endarterectomy

Abstract

Horner's syndrome is described in a patient with anisocoria and unilateral lid ptosis 48 hours after an ipsilateral carotid endarterectomy. This case illustrates a rare iatrogenic complication of sympathetic nerve dysfunction following elective surgery.

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References

1. Mokri B , Sundt TM Jr , Houser OW , et al: Spontaneous dissection of the cervical internal carotid artery. Ann Neurol 19:126-138, 1986.

2. Anson J , Crowell R : Cervicocranial arterial dissection. Neurosurgery 29:89-96, 1991.

3. Momeiro MLR , Coppeto JR : Horner's syndrome associated with carotid atherosclerosis. Am J Ophthalmol 105:93-94, 1988.

4. Sankar NM , Munene J , Arumugam SB , Bashi VV , Cherian KM : Benign carotid body tumor presenting with Horner's syndrome. Tex Heart Int J 23:180-183, 1996.

5. Verta MJ Jr , Applebaum EL , McCluscky DA : Cranial nerve injury during carotid endarterectomy. Ann Surg 185:192-192, 1977.

6. Rutherford RB : Vascular Surgery. 5th ed. Philadelphia: W.B. Saunders, 2000, p 1887-1887.

7. Barbut D , Gold JP , Heinemann MH , et al: Horner's syndrome after coronary artery bypass surgery. Neurology 46:181-184, 1996.

8. Sears ML , Kier EL , Chavis RM : Horner's syndrome caused by occlusion of the vascular supply to the sympathetic ganglia. Am J Opthalmol 77:717-724, 1974.