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  • Title: Carotid artery dissection presenting with isolated headache and Horner syndrome after minor head injury.
    Author: Creavin ST, Rice CM, Pollentine A, Cowburn P.
    Journal: Am J Emerg Med; 2012 Nov; 30(9):2103.e5-7. PubMed ID: 22633727.
    Abstract:
    A woman aged 31 years presented to the emergency department after a minor head injury. She reported mild headache and a metallic taste in her mouth. Full neurologic examination was remarkable only for left-sided Horner syndrome. Left internal carotid artery dissection was confirmed on magnetic resonance imaging. She was treated with aspirin. Symptoms and signs persisted 3 months later, but there was no additional neurologic deficit. We stress the importance of early detection of Horner syndrome to minimize the risk of disabling stroke.
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