Citation

Hirji N, Ionides A. BMJ Case Rep. 2011; 2011: e3710.

Affiliation

Department of Ophthalmology, Moorfields at St George's Hospital, London, UK. nashila@doctors.org.uk

Copyright

(Copyright © 2011, BMJ Publishing Group)

DOI

10.1136/bcr.01.2011.3710

PMID

22707654

PMCID

PMC3063260

Abstract

A previously healthy 61-year-old male presented to eye casualty with a left-sided Horner's syndrome. He reported that while offering strong vocal support at a football [soccer] match 5 days previously, he had suddenly noticed an unusual sensation behind his left eye, accompanied by a left hemifacial headache. He had noted pupillary asymmetry soon after this. Radiological imaging revealed a left internal carotid artery dissection. Anticoagulant therapy was commenced, and all symptoms and signs had fully resolved at 1-month follow-up, with no further complications.

Language: en