Clinical Case Database / Category: Case Based Discussion

Partial Horner's syndrome secondary to facial trauma

Publication details

Dr. Simon Nicholson, MBBS, MRes, Dr. Jeremy Tibble, FRCP, MD, MSc
Foundation Years Journal, volume 2, issue 6, p.276 (123Doc Education, London, July 2008)


We describe an unusual and important presentation of Horner's Syndrome and discuss the possible sequelae of this particular pathological process. The need for vigilance and a high index of suspicion in assessing those presenting similarly is highlighted.

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Dr. Simon Nicholson, MBBS, MRes (Corresponding author)

F1 in General Medicine
Brighton and Sussex University Hospitals NHS Trust

Dr. Jeremy Tibble, FRCP, MD, MSc

Supervising Consultant
Consultant Gastroenterologist
Brighton and Sussex University Hospitals NHS Trust


1. Schievink WI, et al. Traumatic internal carotid artery dissections caused by blunt softball injuries. American Journal of Emergency Medicine March 1998, 16(2):179-182.
2. Biousse V, et al. Ophthalmologic manifestions of internal carotid artery dissection. American Journal of Ophthalmology October 1998, 126(4):565-577.
3. Zohrabian D, et al. Dissection, Carotid Artery. eMedicine; November 2006. accessed 7 August 2008.
4. Krajewski L, Hertzer N. Blunt carotid artery trauma: R eport of two cases and review of the literature. Annals of Surgery 1980,191:341-346.
5. Ameline-Audelan V. Painful Claude Bernard Horner Syndrome: apropos of a painless carotid artery dissection. Journal Français d'Ophtalmologie October 1998, 21(8):591-595.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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