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Case Reports in Neurological Medicine
Volume 2016, Article ID 5162869, 3 pages
Case Report

Horner’s Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving

1Emergency Medicine Unit, Miguel Servet Hospital, 50009 Zaragoza, Spain
2Internal Medicine Unit, Hospital Médico-Quirúrgico del Complejo Hospitalario de Jaén, 23007 Jaén, Spain

Received 27 February 2016; Revised 16 May 2016; Accepted 18 May 2016

Academic Editor: Jorge C. Kattah

Copyright © 2016 Jose Enrique Alonso Formento et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Internal carotid artery dissection (ICAD) is a rare entity that either results from traumatic injury or can be spontaneously preceded or not by a minor trauma such as sporting activities. It represents a major cause of stroke in young patients. The diagnosis should be suspected with the combination of Horner’s syndrome, headache or neck pain, and retinal or cerebral ischaemia. The confirmation is frequently made with a magnetic resonance angiography (MRA). Although anticoagulation with heparin followed by vitamin-K-antagonists is the most common treatment, there is no difference in efficacy of antiplatelet and anticoagulant drugs at preventing stroke and death in patients with symptomatic carotid dissection. We describe a patient with ICAD following deep sea scuba diving, who presented with Horner’s syndrome and neck pain and was successfully treated with anticoagulants.