Carotid Artery Dissection, Neck Pain, and Horner’s Syndrome


carotid artery dissection and neck pain and horner's syndromeThe majority of acute onset neck pain is due to muscle tension but in some cases left-sided neck pain, right-sided neck pain, or neck pain that presents with Horner’s syndrome are the result of carotid artery dissection or carotidynia. It appears that carotid artery dissection, whilst once thought fairly rare, is actually a risk for many people, young or old, active or inactive. Indeed, activities such as running, golf, and contact sports can all lead to acute trauma to the carotid artery and neck pain, and for some patients this can be fatal. In today’s blog post we take a look at a case of Horner’s syndrome as a result of carotid artery dissection.

Carotid Artery Dissection Leading to Horner’s Syndrome

This case of carotid artery dissection occurred in an active 25 year old woman after running 10km on a treadmill. Her first symptom was mild left-sided neck pain shortly after finishing her run. A few hours later the woman noticed her left pupil was constricted and her eyelid had begun to droop. She sought the help of an ophthalmologist who diagnosed Horner’s syndrome as a result of viral infection. The woman ran again the next day and noticed that the left half of her forehead did not sweat so, clearly concerned, she went to the hospital for further assessment.

Diagnosing Horner’s Syndrome

Diagnostic imaging found no abnormalities in her carotid arteries on ultrasound but a magnetic resonance angiogram did find a dissection of her extracranial internal carotid artery. As there was no evidence of blood clots at the time, the woman was treated with aspirin as an anticoagulant and the carotid artery dissection had repaired itself by the time of follow-up six months later. The Horner’s syndrome has, however, remained. The woman had no underlying condition predisposing her to carotid artery dissection and is an example of how fairly minor trauma to the neck can cause the condition, even in active young people.


What is Horner’s Syndrome

Horner’s syndrome was first described in 1869, by the Swiss ophthalmologist Johann Friedrich Horner and is a result of disease, trauma, or medical intervention (idiopathic). In Horner’s syndrome there is a loss of innervation of one side of the face or head by the sympathetic nervous system, leading to ptosis (drooping) of the upper and lower eyelids, pupil constriction, anhidrosis (loss of sweating), and enophthalmos (sunken eye). Children with Horner’s syndrome may end up with one eye being much lighter than the other due to a lack of melanin production resulting from the loss of sympathetic nervous system activity in that side of the face.

Causes of Horner’s Syndrome

Carotid artery dissection was not, until recently, considered a significant cause of the syndrome but this is now thought to have been the result of poor imaging ability in many cases, leading to under-diagnosis. MRA availability has helped increase the recognition of this important cause of Horner’s syndrome and many idiopathic cases have been retrospectively attributed to carotid artery dissection. Neck pain and Horner’s syndrome can also be signs of other problems, including compression from cervical ribs, cervical spine or neck tumors, syringomyelia, thyroid cancer or goitre, or even thyrocervical venous dilatation. Those with cervical spinal stenosis may be at increased risk of carotid artery dissection and Horner’s syndrome, and certain neck pain therapies, such as chiropractic adjustment, may not be suitable due to the potential for arterial trauma.

Treating Horner’s Syndrome and Neck Pain

Anyone experiencing symptoms of Horner’s syndrome should seek medical attention immediately, especially if there has been recent neck trauma or a ‘pop’ in the neck as this could suggest carotid artery dissection. Early treatment will usually help avoid significant complications but the effects of Horner’s syndrome may remain, as in the case above, long after the resolution of neck pain and carotid artery repair.

Read more about neck cracking and popping here.

Reference

D J M Macdonald and E C A McKillop, Carotid artery dissection after treadmill running, Br J Sports Med. 2006 April; 40(4): e10.

158 replies
  1. sawncar
    sawncar says:

    The main features provided by the tools are:
    Report creation support – support for the creation of actual reports. The content and layout of the report are determined.
    Template support – support for the creation of templates and allowing the report’s content to be predefined.
    Printable reports support – taking into account current job print capabilities, allows the capture of the content of a specific container.
    Editable reporting – provides extensive editing and reporting capabilities. The content can be edited and re-numbered or https://respeak.net/upload/files/2022/06/aCDWUY15qrH7xYXU2Q6U_06_1a0de9247691e4e6abc4a5b7d4e098a4_file.pdf
    50e0806aeb sawncar

    Reply
  2. carahav
    carahav says:

    The software delivers a substantial set of visualization and graph visualization features. These include the ability to make 3D- and 4D-like graphics, drawing, animation, shape and image processing, and designing and developing interactive 3D models and simulations. The software also offers a wide range of true- or pseudo-random number generator modules. Both real and imaginary parts of number can be generated on-the-fly using the built-in high-precision real and imaginary number generators as well as the native trig functions.

    The software development tools allow users to quickly build and run programs with ease and high efficiency. All versions https://spiruproject.site/wp-content/uploads/2022/06/yiesuld.pdf
    50e0806aeb carahav

    Reply
  3. bereles
    bereles says:

    This utility includes a logon screen editor to change the logon screen text, Background image, System background screensaver, Hotkeys, and a logon screen launcher to speed up the logon process.
    Another useful utility to change the logon screen of your system is the Easy Logon Driver.

    IncredidT5000 Logon Screen Free – The
    first iPhone webcam app for Windows, Mac and Linux.
    Record native iPhone webcam clips and easily upload to Facebook and your https://habubbd.com/mars-weather-report-crack-win-mac-latest/
    50e0806aeb bereles

    Reply
  4. gilbrye
    gilbrye says:

    Features
    Other noteworthy features are:

    Is installable in-app, requires no sign-up or registration;
    Highly customizable in any way you require;
    New and improved process type detection (protection against possible false positives);
    Much faster scanning;
    Visual Leak Detector will not encrypt any information, and all dumps will be sent to user email.

    See also
    List of memory leak checking tools

    References

    External links http://www.interprys.it/wp-content/uploads/2022/06/osmuley.pdf
    50e0806aeb gilbrye

    Reply
  5. AshMaR
    AshMaR says:

    [url=http://diclofenac.shop/]how to buy voltaren gel[/url] [url=http://erythromycin.cfd/]erythromycin brand[/url] [url=http://buybactrim.store/]how much is bactrim[/url] [url=http://tizanidine.store/]zanaflex 6 mg[/url] [url=http://robaxin.cfd/]robaxin brand name[/url]

    Reply
  6. AshMaR
    AshMaR says:

    [url=http://lisinopril247.com/]zestoretic 20 25mg[/url] [url=http://buyfluconazole.shop/]buy diflucan yeast infection[/url] [url=http://tizanidine.store/]tizanidine canadian pharmacy no prescription[/url] [url=http://permethrin.shop/]buy elimite cream over the counter[/url] [url=http://allopurinol.email/]allopurinol brand[/url] [url=http://buyxenical.shop/]orlistat capsules[/url] [url=http://sildenafiltabs.com/]viagra best brand[/url]

    Reply
  7. AshMaR
    AshMaR says:

    [url=https://buybactrim.store/]buy bactrim pills[/url] [url=https://amitriptyline.store/]endep[/url] [url=https://buyvardenafil.monster/]where to buy levitra[/url] [url=https://dapoxetine.shop/]dapoxetine 30 mg online purchase[/url] [url=https://avodart.shop/]avodart mexico[/url]

    Reply
  8. hamphil
    hamphil says:

    You can adjust LavaLamp including the speed, the number of primary colours, and the length of the animation.
    A tool for setting and configuration is included.

    Screenshots

    Freeware

    Screenshot

    Installation

    Download LavaLamp.bmp to your desktop. You can start putting it on your desktop after you downloaded it.

    If you would like to install LavaLamp with ARPACK, read on…

    Download https://thoitranghalo.com/wp-content/uploads/2022/06/QODBC_Driver_for_QuickBooks.pdf
    50e0806aeb hamphil

    Reply
  9. Sandy Zilla
    Sandy Zilla says:

    I absolutely love your blog and find nearly all of your post’s to be what precisely I’m looking for. can you offer guest writers to write content in your case? I wouldn’t mind creating a post or elaborating on a number of the subjects you write about here. Again, awesome weblog!|

    Reply
  10. Nicolasa Saltsman
    Nicolasa Saltsman says:

    you’re in point of fact a just right webmaster. The site loading speed is incredible. It sort of feels that you’re doing any unique trick. In addition, The contents are masterwork. you have done a magnificent job on this topic!|

    Reply
  11. Kathey Henifin
    Kathey Henifin says:

    Hi, i read your blog from time to time and i own a similar one and i was just curious if you get a lot of spam responses? If so how do you stop it, any plugin or anything you can suggest? I get so much lately it’s driving me mad so any assistance is very much appreciated.|

    Reply
  12. Laverne Dinnen
    Laverne Dinnen says:

    Hi there! I just wanted to ask if you ever have any problems with hackers? My last blog (wordpress) was hacked and I ended up losing several weeks of hard work due to no back up. Do you have any methods to stop hackers?|

    Reply
  13. tinyurl.com
    tinyurl.com says:

    Heya i’m for the primary time here. I found this board and I to
    find It really helpful & it helped me out a lot.
    I hope to provide something again and aid others like you
    helped me.

    Reply
  14. obsew
    obsew says:

    Hellomat: Flash Aladin1001 MisterXPlaymont: Tele Star, Video StarZacharia: 2xRoulette (36er)Tokengeräte: Cup Final Sindbad Wand Square Dance Mit Geldspielgeräten von Merkur, Novomatic Löwen, Crown, PSM Tech und Bally Wulff bietet CHZ alle gängigen Automaten für das richtige Casino-Flair an. Ein merkur datenbank ist ein merkur spiel, welches das erstellen von automatbildern erlaubt. Dadurch lassen sich viele kombinationen der bewegungsabläufe von den verschiedensten anwendungen auf einem bild festhalten und wiedergeben. Dieses datumbankformat wird zusammen mit dem WBV-Standard für die betriebssystemstandardisierte grafikübertragung (WBV = Windows Bitmap Format) verwendet.Eine merkur datenbank ist… Weiterführende, spannende Ads zu “merkur datenbank” Loewen Sammler-Geldspielautomaten & -Zubehör https://erickxnbq542197.dm-blog.com/11408603/lotto-ergebnisse-sonntag Datenschutzerklärung Also ich bin neu bei skateboard fahren und hab mir ein paar Videos angeguckt wo jeder irgendwas labert von mongo pusher. Meine frage ist wenn ich mein rechtes bein vorne am board habe und mit dem linken bein anschiebe, bin ich ein mongopusher? Bester Online Casino Bonus Eine der tragenden Säulen bei jeder Casino-Prüfung ist der Check der Sicherheit und Regulierung. „Normale“ Online Casinos müssen stets mit einer offiziellen Lizenz einer Regulierungsbehörde ausgestattet sein, damit sie ihr Portfolio zur Verfügung stellen dürfen. Für Luckygames gilt das allerdings nicht, denn in einem Bitcoin-Casino sind eine Abzocke oder ein Betrug ohnehin ausgeschlossen. Sämtliche Spiele des Anbieters sind Provably Fair und können somit ein Höchstmaß an Sicherheit gewährleisten. Das bedeutet zum Beispiel, dass sich jeder Spieler von den Ergebnissen einer Spielrunde ganz einfach selbst überzeugen kann. Einfach gesagt läuft hier also garantiert alles mit rechten Dingen ab.

    Reply
  15. Lucas Belieu
    Lucas Belieu says:

    I do accept as true with all the concepts you’ve presented in your post. They are very convincing and will certainly work. Nonetheless, the posts are very quick for newbies. May you please extend them a little from next time? Thank you for the post.|

    Reply
  16. Colby Laurel
    Colby Laurel says:

    I have been surfing online more than 3 hours lately, but I by no means found any fascinating article like yours. It’s pretty value sufficient for me. In my view, if all website owners and bloggers made good content material as you did, the internet will likely be much more useful than ever before.|

    Reply
  17. Mup
    Mup says:

    Yhteenvetona voimme siis sanoa, että rahapelit toimivat hyvin yksinkertaisesti ja käyttäjäystävällisesti näillä verkkopankkitunnistautumisen piirissä operoivilla casino-sivustoilla. Jos et ole vielä jostain syystä testannut tilivapaata operaattoria, nyt on oiva aika sille. Saat nimittäin usealta kasinosivulta mahtavat aloittavien asiakkaiden tarjoukset käyttöön, jotka kannattaa ehdottomasti hyödyntää. Varmaan jokaista lukijaa kiinnostaa myös se, minkälaisia kokemuksia meillä on netin viihdepeleistä. Voimme heti alkuun sanoa sen, että rahapelit ovat olleet jo yli vuosikymmenen osa meidän elämää. Kokemuksesta ei siis ole ainakaan ollenkaan puutetta. Tämän takia haluammekin ehdottomasti jakaa alan asiantuntijoiden tietoa sivumme vierailijoille. https://www.achd.de/community/profile/charlakim995865 Rahansiirtojen automatisointi on uusinta huutoa kasinomarkkinoilla ja tämän ominaisuuden omaavat sivustot ovat ehdotonta eliittiä. Sivuston maksuosaston ei siis tarvitse enää hyväksyä kyseisiä siirtoja, vaan kotiutuspyyntö pelaajalta riittää saamaan rahat pankkitilille. Poikkeuksia voi tosin tapahtua jos sivustojen järjestelmät havaitsevan jotain poikkeavaa kotiutuksessa ja tällöin kotiutus menee manuaaliseen tarkastukseen. Euteller tarjoaa suomenkielistä asiakastukea joka päivä. Euteller asiakaspalvelu toimii sivustolta löytyvän yhteydenottolomakkeen kautta, puhelinpalvelua ei ole ainakaan tällä hetkellä tarjolla. Voit ottaa heihin yhteyttä, jos sinulla on kysyttävää tai joitain ongelmia palveluun liittyen. Valitse ensiksi aihe, johon liittyen sinulla on kysyttävää, ja täytä lomake. Palvelun nopeuttamiseksi sinun kannattaa täyttää kaikki lomakkeen kohdat, esimerkiksi käytetty pankki, viitenumero ja niin edelleen. Täytettyäsi yhteydenottolomakkeen, asiakaspalvelu vastaa sinulle sähköpostilla. Sivuilta löytyy kuitenkin vastaukset useimpiin kysymyksiin, joten kannattaa tarkistaa, löydätkö vastauksen kysymykseesi sieltä.

    Reply
  18. Dub
    Dub says:

    I have experience of more than 5 years in the online gambling industry. As an editor, I dedicated myself to online casinos. I strive hard to analyze various online casinos and bonuses and identify the best ones for the players. I want to show how new players can get started easily and without prior knowledge. Regarding this context, you can find out which online casino bonuses and NZ casinos are worthwhile for novices as well as experienced players. I’ve seen the insides of many online casinos in recent years, I would like to invest my gambling knowledge in curating the best options available in the market. I believe in constructive criticism so readers can approach me anytime to provide feedback. Top casino websites offer free roulette practice games for beginners to test different strategies when playing online. Placing bets on your favourite number can be strategy, but it is not a recommended approach to playing roulette online. Go through our step-by-step guide on how to play roulette and win every time: https://www.susconsultancy.co.uk/community/profile/robbieberkman0/ A 20x wagering requirement means you must playthrough your requirements 20 times before you can withdraw any winnings.Case: 100% up to £100 with a wagering requirement of x20.Bonus money example: Deposit £50 and get £50 bonus money. The wagering requirement is the bonus money multiplied by 20 (£50 x 20 = £1000).Deposit amount + Bonus money example: Deposit £50 and get £50 bonus money. The wagering requirement is the deposit amount + bonus money multiplied by 20 (£50 + £50 x 20 = £2000). Reload bonus spins are simply a free spin offer provided to customers who have previously made deposits at an online casino. This is a method of thanking regular gamers and inciting them to continue to play at their casino site. The reload bonus spins fluctuate across casinos. Some casinos provide reload bonus spins after the second deposit, while others offer them after the third or fourth deposit.

    Reply
  19. riC
    riC says:

    Before reviewing an online casino for NZ players, we check for live dealer games. Despite the popularity of live dealer games, a few online casinos NZ do not offer them. We avoid such casinos. Instead, we focus on online casinos that offer live dealer games from multiple vendors such as NetEnt Live, Microgaming, Evolution Gaming, and Vivo Gaming. Most online casinos offer attractive promotions to attract new players and keep their existing audience coming back. As soon as you register at some online casinos, you will be awarded bonuses. Making a deposit qualifies you for even more bonuses. The more games you play, the higher your comp points, and this will result in more rewards and an increase in your bankroll. Playing at land-based casinos might not afford you this luxury. However, it is always important to read the casino’s terms and conditions to understand wagering requirements and other bonus restrictions. https://holymaryseeds.com/community/profile/mathiasharley29/ Online gambling is the most fraudulent online activity one can participate in, Bitcoin is grasping at used cocaine straws SAN FRANCISCO – Douglas Jae Woo Kim has been charged in a criminal complaint with wire fraud in connection with a multi-million dollar scheme to raise money for bogus cryptocurrency investments announced United States Attorney David L. Anderson and Federal Bureau of Investigation Special Agent in Charge John L. Bennett. Also, here are a few additional subreddits that you might like: I think you’re raising concern for nothing. By Christmas you’ll see a $5,000 Bitcoin. By 2020 you’re looking at a $50-100k per coin. While the value fluctuates whenever someone posts a concern (like the hardfork) whole countries are ramping up usage and creating departments of government that will focus on growth and implementation of the currency in today’s economic world. There is no need to sweat your Bitcoin as a loss. Even if another crypto takes the lead from Bitcoin say ethereum or Monero Bitcoin will still retain value.

    Reply
  20. bag
    bag says:

    The good news is that they do. Typically, if you find a casino with a top-quality welcome bonus that you like, you’ll be able to claim that same bonus if you use their mobile portal. Some casinos have been known to offer bespoke welcome bonuses for new players on the mobile site. The mobile approach makes it incredibly easy to play your favourite games no matter where you are. The top UK casino apps let you download games catalogues directly to your smartphone, allowing you to enter directly and start playing at any time. Among the best options, we can see that Ladbrokes casino app is one of the best online casinos in the UK with an app. Depending on the casino site you’re with, your mobile site can potentially be faster than desktop sites.There are a number of factors that come into play when deciphering whether or not your casino’s mobile site is faster than it’s desktop equivalent. Some of these factors include: Speed of your phone, speed of your internet connection, loading times of the mobile desktop site. https://meet-wiki.win/index.php/$200_no_deposit_bonus_200_free_spins_usa_2022 One of the main reasons for this growth is its willingness to adopt new technological advancements. Many industries remain wary of accepting these changes in fear that they will be detrimental to the future of their business. However, this isn’t the case with online gambling. Known for being the industry to take risks, online casinos and gambling sites constantly adopt new trends to meet the ever-changing demands of the market. Online gambling platforms offering players a variety of payment methods are appreciated for many reasons. The more payment alternatives a casino offers, the more secure the payment service is. To put it another way, this payment provider has determined that the online casino is in compliance with applicable laws. However, some developing online casinos lack sufficient payment alternatives since they are just starting out. Plus, gamers appreciate a wide range of payment methods since they may use any of them if one does not work.

    Reply
  21. Danny Strzelecki
    Danny Strzelecki says:

    I’m extremely impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you modify it yourself? Either way keep up the nice quality writing, it’s rare to see a nice blog like this one today.|

    Reply
  22. Gabrielle Hopping
    Gabrielle Hopping says:

    An outstanding share! I’ve just forwarded this onto a friend who was doing a little research on this. And he in fact ordered me lunch because I found it for him… lol. So allow me to reword this…. Thank YOU for the meal!! But yeah, thanx for spending some time to talk about this topic here on your internet site.|

    Reply
  23. Fabian Sawczyszyn
    Fabian Sawczyszyn says:

    Howdy just wanted to give you a brief heads up and let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different web browsers and both show the same outcome.|

    Reply
  24. tNen
    tNen says:

    Obecnie mieści się tam Kasyno Cristal. Wiadomości lokalne Jeśli oferta kasyn w Gdańsku nie spełnia Twoich oczekiwać odwiedź najstarsze w Polsce kasyno w Sopocie. Wybierz swoje ulubione kasyno w Gdańsku i zagraj w najlepsze gry hazardowe. Graj W Automaty Do Gier Za Darmo Gry Hazardowe online za darmo Kasyno 2020 Bonus Bez Depozytu – bonusy i promocje w kasynie online W przypadku rezerwacji dokonanych 6 kwietnia 2020 r. i później zalecamy rozważenie ryzyka wynikającego z obecności koronawirusa (COVID-19) oraz zachęcamy do zapoznania się z rozporządzeniami rządu. Jeśli nie wybierzesz opcji objętej elastycznymi zasadami, możesz nie być uprawniony do zwrotu pieniędzy. Twoja prośba o odwołanie rezerwacji będzie rozpatrywana przez zarząd obiektu na podstawie zasad dotyczących wybranej opcji i prawa konsumenckiego tam, gdzie ma ono zastosowanie. W niepewnych czasach zalecamy rezerwację opcji z bezpłatnym odwołaniem. Jeśli Twoje plany ulegną zmianie, możesz odwołać rezerwację bezpłatnie do momentu upłynięcia terminu bezpłatnego odwołania rezerwacji. https://perilpaneelerose.org/community/profile/elenamoats3985/ Użytkownicy tej szczególnej opcji płatności mają do dyspozycji 2-stopniową weryfikację, aby chronić swoje dane, a każda dokonywana transakcja jest silnie chroniona przed oszustwami dzięki w pełni gwarantowane szyfrowaniu o maksymalnym poziomie bezpieczeństwa. Kasyna online z Skrill mają także własne zabezpieczenia, które pomagają chronić przed oszustwami. Zazwyczaj większość kasyn jest licencjonowanych i regulowanych przez renomowane jurysdykcje. Jednocześnie płatność jest chroniona przed oszustwami dzięki potrójnej warstwie szyfrowania SSL i maksymalnemu bezpieczeństwu. Weź pod uwagę, że w niektórych kasynach Skrill jest metodą płatności, która uniemożliwia otrzymanie bonusu. Dlatego zanim dokonasz wpłaty warto dokładnie przeczytać wszystkie warunki premii. Trudno zgadnąć dlaczego Skrill został wykluczony i dlaczego nie można go użyć jeśli chcemy połączyć nasz depozyt z bounsem. Niemniej jednak musi to mieć swoją przyczynę. Sytuacja ta jest jednak dość wyjątkowa i nie wszystkie kasyna narażają graczy na takie… sankcje.

    Reply

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published.