Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Androit-APP Journal of Sports Science and Medicine
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©Journal of Sports Science and Medicine ( 2014 ) 13 , 451 - 453

Case report
An Unusual Case of Traumatic Internal Carotid Artery Dissection during Snowboarding
George Kalantzis1,2, Ilias Georgalas2, , Bernard Y.P. Chang1, Chin Ong1, Nabil El-Hindy1,3
Author Information
1 St. James University Hospital, Leeds, UK
2 Athens General Hospital, Athens, Greece
3 York Teaching Hospitals Foundation Trust, York, UK

Ilias Georgalas
✉ Ophthalmology Department, Athens General Hospital, Athens, Greece
Email: igeorgalas@yahoo.com
Publish Date
Received: 03-01-2014
Accepted: 31-01-2014
Published (online): 01-05-2014
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ABSTRACT

The presentation of Horner’s syndrome following blunt trauma is uncommon, but is of important clinical significance. Identification of the constellation of signs of Horner’s syndrome should, therefore, prompt urgent neuro-radiologic imaging. Early diagnosis and initiation of appropriate treatment can lead to excellent outcomes in the majority of cases and prevent devastating cerebral ischaemic damage. A progressive case of Horner’s syndrome following blunt injury to the neck in an amateur snowboarder is presented.

Key words: Horner’s syndrome, snowboard, anisocoria, amaurosis fugax


           Key Points
  • Blunt injury to the neck can result in Horner’s syndrome.
  • Horner’s syndrome should alert clinicians to the possibility of a silent ICAD.
  • MRI and MRA of the head and neck constitute the imaging modality of choice to look for ICAD.
  • The treatment of choice for ICAD is anticoagulation for 3-6 months.
 
 
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