Turkish Neurosurgery 2015 , Vol 25 , Num 4
Surgical Position, Cause of Extracranial Internal Carotid Artery Dissection, Presenting as Pourfour Du Petit Syndrome: Case Report and Literature Review
Gloria VILLALBA MARTINEZ1, Irene NAVALPOTRO GOMEZ2, Laura SERRANO PEREZ1, Sofia GONZALEZ ORTIZ3, Juan L FERNANDEZ-CANDIL4, Eva Giralt STEINHAUER2
1Hospital del Mar, Neurosurgery Department, Barcelona, Spain
2Hospital del Mar, Neurology Department, Barcelona, Spain
3Hospital del Mar, Neuroradiology Department, Barcelona, Spain
4Hospital del Mar, Anesthesiology Department, Barcelona, Spain
DOI : 10.5137/1019-5149.JTN.10155-13.1 Dissection of the internal carotid artery is a rare cause of stroke overall, but causes 22% of strokes in younger patients. A common clinical presentation is as Claude Bernard Horner syndrome. We report a craniotomy with 30 degrees rotation of the neck (standard position) in a patient with no major risk factors for carotid dissection, who showed a Pourfour du Petit syndrome due to a dissection of the internal carotid artery. To the best of our knowledge, this is the first reported case in which a common surgical position causes an internal carotid artery dissection in a patient without relevant risk factors. The presentation with Pourfour du Petit syndrome is extremely unusual. Keywords : Carotid dissection, Pourfour du Petit syndrome, Neck rotation
Corresponding author : Gloria Villalba Mart nez, gloriavillalbamartinez@gmail.com