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Year : 2020  |  Volume : 9  |  Issue : 12  |  Page : 6273-6275

Horner syndrome with transient visual impairment

Department of Community Health and Family Medicine, University of Florida, Gainesville, FL, United States

Correspondence Address:
Dr. Frank A Orlando
U.F. Health Family Medicine – Springhill II, 4197 NW 86th Terrace, Gainesville, FL - 32606
United States
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_1444_20

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A 57-year-old female presented with headache, miosis, and ptosis diagnosed as Horner syndrome (HS). After delaying the recommended diagnostic imaging, she experienced transient, unilateral visual impairment in bright light. The patient was subsequently determined to have a spontaneous internal carotid artery dissection (ICAD) and secondary retinal ischemia with minimal cardiovascular risk factors and no history of preceding trauma. She wore dark glasses, received gabapentin for pain control, and was anticoagulated for a total of 4 months at which time the ICAD resolved despite a residual blepharoptosis and anisocoria.

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