CASE REPORT
Carotid artery dissection after treadmill running
1 Orthopaedics Department, Western Infirmary, Glasgow, Scotland, UK
2 Gartnavel General Hospital, Glasgow
Correspondence to:
Correspondence to:
MrMacdonald
Orthopaedics Department, Western Infirmary, Glasgow G3 8SB, Scotland, UK; djmmacd{at}hotmail.com
The case is presented of carotid artery dissection causing Horner’s syndrome in a 25 year old woman after treadmill running. She presented with characteristic eye signs and mild pain. Early diagnosis and treatment was associated with no long term, serious complications. It is now recognised that carotid artery dissection is more common than previously thought. Better imaging of the carotid artery has facilitated the diagnosis, and it is now essential to rule out this potentially fatal condition in patients presenting with postganglionic Horner’s syndrome. It is accepted that relatively trivial trauma can cause a carotid artery dissection, and many sporting activities may place young, fit, healthy people at risk.
 View larger version (64K): [in a new window] Figure 1 Left Horner’s syndrome with ptosis and miosis. Reproduced with permission from the patient.
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Abbreviations: ICAD, internal carotid artery dissection; MRA, magnetic resonance angiogram
Keywords: carotid artery; dissection; Horner’s syndrome
Commentary
3 McGill Sport Medicine Clinic, 475 Pine Ave W, Montreal, Quebec, Canada, QC H2W 1S4; j.delaney{at}mcgill.ca
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Br. J. Sports Med. 2006 40: 312.[Extract] [Full Text] [PDF]
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