A patient with internal carotid artery dissection

Gilbert M. Willett, Neal A. Wachholtz

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background and Purpose. The purpose of this case report is to raise physical therapist awareness of Horner syndrome as a "red flag" for immediate medical referral. Case Description. A 45-year-old man sought physical therapy for examination and treatment of neck pain and headache symptoms 5 days after experiencing a whiplash-type injury while waterskiing. His complaints were similar to a prior condition diagnosed as occipital neuralgia that had successfully responded to education, cervical and thoracic joint mobilization, and exercise provided by a physical therapist. The initial examination findings also were similar to those of the previous episode. However, signs consistent with Horner syndrome were noted on the second visit. This finding raised immediate concern on the part of the treating clinician and resulted in prompt physician referral, medical diagnosis, and intervention. Outcomes. A magnetic resonance imaging angiogram revealed an internal carotid artery dissection. A successful outcome was achieved over the course of 6 months through medical intervention, which consisted of anticoagulant therapy and modification of activity levels. Discussion. In this case, the patient's sudden onset of signs of Horner syndrome was indicative of a medical emergency-internal carotid artery dissection.

Original languageEnglish (US)
Pages (from-to)1266-1274
Number of pages9
JournalPhysical therapy
Volume91
Issue number8
DOIs
StatePublished - Aug 1 2011

Fingerprint

Internal Carotid Artery Dissection
Horner Syndrome
Physical Therapists
Referral and Consultation
Whiplash Injuries
Neck Pain
Neuralgia
Anticoagulants
Physical Examination
Headache
Angiography
Emergencies
Thorax
Therapeutics
Joints
Magnetic Resonance Imaging
Exercise
Physicians
Education

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

A patient with internal carotid artery dissection. / Willett, Gilbert M.; Wachholtz, Neal A.

In: Physical therapy, Vol. 91, No. 8, 01.08.2011, p. 1266-1274.

Research output: Contribution to journalArticle

Willett, GM & Wachholtz, NA 2011, 'A patient with internal carotid artery dissection', Physical therapy, vol. 91, no. 8, pp. 1266-1274. https://doi.org/10.2522/ptj.20100217
Willett, Gilbert M. ; Wachholtz, Neal A. / A patient with internal carotid artery dissection. In: Physical therapy. 2011 ; Vol. 91, No. 8. pp. 1266-1274.
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