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
from September 2014
©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
Publish Date
Received: 03-01-2014
Accepted: 31-01-2014
Published (online): 01-05-2014
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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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