Internal carotid artery dissection and Horner syndrome

Case contributed by Frank Gaillard
Diagnosis certain
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

T2-weighted MRI showing blood in the arterial wall and narrowing of the lumen of the left internal carotid. This is also known as the “crescent sign,” a hallmark of internal carotid artery dissection.

Published online 2005 January 25.  doi: 10.1371/journal.pmed.0020019.
Copyright : © 2005 Nautiyal et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Photograph of patient showing left-sided Horner syndrome

Published online 2005 January 25. doi: 10.1371/journal.pmed.0020019.
Copyright : © 2005 Nautiyal et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Case Discussion

Left carotid dissection with crescent sign and left sided Horner syndrome.

Images from: 

Nautiyal Amit, Sonal Singh, Michael DiSalle and John O'Sullivan. “Painful Horner Syndrome as a Harbinger of Silent Carotid Dissection.” PLoS Medicine 2, no. 1 (January 2005): e19.

Copyright : © 2005 Nautiyal et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Original article: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545208

Modifications: cropped, MR annotations removed, resized.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.