Ocular manifestations of internal carotid artery dissection
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Yong-Xin Xing. Department of Ophthalmology, the First Hospital of Xi’an, Xi’an 710002, Shaanxi Province, China. xfwawa0825@163.com; Song-Di Wu. Department of Neurology, the First Hospital of Xi’an, Xi’an 710002, Shaanxi Province, China. wusongdi@gmail.com

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Supported by Research and Development Program of Shaanxi Province, China (No.2017SF-279); Science and Technology Planned Projects of Xi’an, China [No.2017116SF/YX010(8)]; Science and Technology Planned Projects of Xi’an, China [No.201805104YX12SF38(2)].

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    Abstract:

    Internal carotid artery dissection (ICAD) results from disruption of the intima of the arterial wall, and can lead to intrusion of blood into the arterial wall and form an intramural hematoma. The hematoma can compress the true lumen of the vessel, causing functional stenosis or occlusion. The classic triad signs of ICAD include pain in the ipsilateral neck, head and orbital regions; a (partial) Horner syndrome; and cerebral or retinal ischemia. However, not all ICAD patients present with this classic signs. In some cases, ocular manifestations are the initial (and sometimes the only) findings. We summarize the ocular manifestations associated with ICAD in 3 categories: visual symptoms, oculosympathetic palsy, and ocular motor nerve palsy.

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Jin-Xin Song, Xue-Mei Lin, Zhao-Qin Hao, et al. Ocular manifestations of internal carotid artery dissection. Int J Ophthalmol, 2019,12(5):834-839

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Publication History
  • Received:October 08,2018
  • Revised:February 25,2019
  • Adopted:
  • Online: March 27,2019
  • Published: