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Horner Syndrome Related to Ipsilateral Carotid Wall Hematoma after Stent Placement for the Treatment of Carotid Stenoses

We prospectively studied the incidence and natural history of Horner syndrome following stent-supported percutaneous angioplasty of the carotid artery (SPAC). We assessed the hypothesis that postinterventional Horner syndrome is related to ipsilateral carotid wall hematoma. We performed duplex sonog...

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Published in:American journal of neuroradiology : AJNR 2003-09, Vol.24 (8), p.1508-1511
Main Authors: Rosenkranz, Michael, Eckert, Bernd, Niesen, Wolf-Dirk, Weiller, Cornelius, Sliwka, Ulrich
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container_title American journal of neuroradiology : AJNR
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creator Rosenkranz, Michael
Eckert, Bernd
Niesen, Wolf-Dirk
Weiller, Cornelius
Sliwka, Ulrich
description We prospectively studied the incidence and natural history of Horner syndrome following stent-supported percutaneous angioplasty of the carotid artery (SPAC). We assessed the hypothesis that postinterventional Horner syndrome is related to ipsilateral carotid wall hematoma. We performed duplex sonography of the carotid arteries and clinical examination in 28 consecutive patients before and 4 hours +/- 2, 24 hours +/- 2, and 7 days +/- 1 after SPAC. Within 24 hours +/- 2 after SPAC, 11 of the 28 patients developed ipsilateral Horner syndrome. Ten of these 11 patients had a postinterventional sonographic appearance of a carotid wall hematoma, whereas only two of the 17 patients without Horner syndrome had this finding (P
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We assessed the hypothesis that postinterventional Horner syndrome is related to ipsilateral carotid wall hematoma. We performed duplex sonography of the carotid arteries and clinical examination in 28 consecutive patients before and 4 hours +/- 2, 24 hours +/- 2, and 7 days +/- 1 after SPAC. Within 24 hours +/- 2 after SPAC, 11 of the 28 patients developed ipsilateral Horner syndrome. Ten of these 11 patients had a postinterventional sonographic appearance of a carotid wall hematoma, whereas only two of the 17 patients without Horner syndrome had this finding (P &lt;.001). In all patients, both Horner syndrome and carotid wall hematoma had resolved 7 days +/- 1 after SPAC. Horner syndrome appears to be a common yet transient event after SPAC. 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subjects Adult
Aged
Aged, 80 and over
Angioplasty, Balloon - adverse effects
Biological and medical sciences
Carotid Artery Injuries - diagnostic imaging
Carotid Artery Injuries - etiology
Carotid Artery, Internal - diagnostic imaging
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - therapy
Female
Follow-Up Studies
Functional Laterality - physiology
Hematoma - diagnostic imaging
Hematoma - etiology
Horner Syndrome - diagnostic imaging
Horner Syndrome - etiology
Humans
Interventional
Male
Medical sciences
Middle Aged
Muscle, Smooth, Vascular - diagnostic imaging
Muscle, Smooth, Vascular - injuries
Neurology
Prospective Studies
Sensitivity and Specificity
Stents - adverse effects
Ultrasonography, Doppler, Duplex
Vascular diseases and vascular malformations of the nervous system
title Horner Syndrome Related to Ipsilateral Carotid Wall Hematoma after Stent Placement for the Treatment of Carotid Stenoses
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